Cassandra Alexisis Gutierrez
Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).
NPI number1124842489
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1124842489
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Alexisis Gutierrez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2024
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 034968-01 | NY | Yes |
Practice location
554 Fort Washington AveNew York, NY 10033-2003
Phone 212-740-5157
Mailing address
3022 33rd St Apt 2fAstoria, NY 11102-1504
Phone 516-749-3473
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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