Individual provider · NPI-1
Susana Gutman, RDMS,RDCS, RVT
Spec/Tech, Cardiovascular, Sonography · Forest Hills, NY
NPI number1003267113
StatusActive
Last updated in NPPESJun 29, 2016
Details
- NPI
- 1003267113
- Entity type
- Individual (NPI-1)
- Name
- Susana Gutman
- Credential
- RDMS,RDCS, RVT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2016
- Last updated
- Jun 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246XS1301X | Spec/Tech, Cardiovascular, Sonography | – | – | Yes |
| 2471V0105X | Radiologic Technologist, Vascular Sonography | – | – |
Practice location
10811a 66th AveForest Hills, NY 11375-2247
Phone 718-838-4533 · Fax 888-645-9398
Mailing address
10811a 66th AveForest Hills, NY 11375-2247
Phone 718-838-4533 · Fax 888-645-9398
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