Stutman, Gabrielle

Stutman, Gabrielle is an sole proprietor health care provider with primary practice located at 303 5Th Ave Suite 907, New York NY 10016-6601. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stutman, Gabrielle can be contacted via phone (212) 254-7390.

Contact Information

Primary practice address
303 5Th Ave Suite 907 New York NY 10016-6601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 007131 New York

Profile Details

NPI number 1144213463
LBN Legal business name Stutman, Gabrielle
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Oct 2nd, 2012 - about 12 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 1144213463 NPPES
New York MEDICAID 01089041
New York Other WCS071316B

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