Gutierrez Mendiola, Carlos Manuel

Gutierrez Mendiola, Carlos Manuel is an individual health care provider with primary practice located at 5503 Myrtle Ave , Ridgewood NY 11385-3550. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gutierrez Mendiola, Carlos Manuel can be contacted via phone (631) 574-2060.

Contact Information

Primary practice address
5503 Myrtle Ave Ridgewood NY 11385-3550
Phone: (631) 574-2060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 323780 New York

Profile Details

NPI number 1114549938
LBN Legal business name Gutierrez Mendiola, Carlos Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated Jul 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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