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NPI Code Detail

MEDICARE: DR. SOFIYA GUTMAN PHARM-D

MEDICARE: DR. SOFIYA GUTMAN PHARM-D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist049555-1NY

General Provider Information

NPI Number : 1336465541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFIYA GUTMAN PHARM-D
Provider Business Mailing Address
First Line : 4125 18TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-5709
Country : US
Telephone Number : 718-686-8900
Fax Number : 718-686-8910
Provider Business Practice Location Address
First Line : 4125 18TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-5709
Country : US
Telephone Number : 718-686-8900
Fax Number : 718-686-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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Directions to “ DR. SOFIYA GUTMAN PHARM-D” Practice Location

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