| Doctor Name: | MR. MICHAEL M. GUS |
| NPI Number: | 1093928400 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 022174-1 |
| Business Practice Address: | 5094 Commercial Dr Yorkville, NY - 134951106 |
| Business Phone Number: | 3157688521 |
| Business Fax Number: | 3157687882 |
| Mailing Address: | 25 Forest Rd, UTICA |
| State: | NY |
| Postal Code: | 135016622 |
| Phone Number: | 3152699830 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 022174-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |