Doctor Name: | ERIKA GUTTER |
NPI Number: | 1760613061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | P70929 |
Business Practice Address: | 68 Harris Bushville Rd Harris, NY - 12742 |
Business Phone Number: | 8457943300 |
Business Fax Number: | |
Mailing Address: | 484 Temple Hill Rd, Ste 104 NEW WINDSOR |
State: | NY |
Postal Code: | 125535557 |
Phone Number: | 8455653700 |
Fax Number: | 8455653395 |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | P70929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |