Doctor Name: | DR. GARY KOUTCHER |
NPI Number: | 1477622884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA07301100 |
Business Practice Address: | 68 Harris Bushville Rd Harris, NY - 12742 |
Business Phone Number: | 8457917828 |
Business Fax Number: | |
Mailing Address: | 68 Harris Bushville Rd, HARRIS |
State: | NY |
Postal Code: | 12742 |
Phone Number: | 8457917828 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 25MA07301100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |