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NPI Code Detail

MEDICARE: YELENA GUTMAN DDS

MEDICARE:   YELENA  GUTMAN  DDS
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
1122300000XDentist045541NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598859332
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELENA GUTMAN DDS
Provider Business Mailing Address
First Line : 247 GARDEN ST
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-4317
Country : US
Telephone Number : 718-368-0900
Fax Number : 718-368-0107
Provider Business Practice Location Address
First Line : 2102 E 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4902
Country : US
Telephone Number : 718-368-0900
Fax Number : 718-368-0107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ YELENA GUTMAN DDS” Practice Location

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