Gutierrez, Reinaldo M

Gutierrez, Reinaldo M is an sole proprietor health care provider with primary practice located at 380 S Oyster Bay Rd , Hicksville NY 11801-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gutierrez, Reinaldo M can be contacted via phone (516) 942-3330.

Contact Information

Primary practice address
380 S Oyster Bay Rd Hicksville NY 11801-3509
Fax: (516) 942-3334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 210965 New York

Profile Details

NPI number 1356346373
LBN Legal business name Gutierrez, Reinaldo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Nov 17th, 2010 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1356346373 NPPES
New York MEDICAID 02020708

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