Jorge E Gutierrez
Counselor, Professional in Bronx, NY. Individual provider (NPI-1).
NPI number1982141230
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1982141230
- Entity type
- Individual (NPI-1)
- Name
- Jorge E Gutierrez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2017
- Last updated
- Jan 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1214 Olmstead AveBronx, NY 10462-4604
Phone 718-864-6829
Mailing address
1214 Olmstead AveBronx, NY 10462-4604
Phone 718-864-6829
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