Alma Berenice Leocadio Gutierrez

NPI #1497586747 in Selden, New York

Provider Information

NPI Number: 1497586747
Entity Type: Individual
Name: Alma Berenice Leocadio Gutierrez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 9, 2024
Last Updated: Aug 9, 2024

Practice Location

Address: 78 HEMLOCK ST
City: Selden
State: New York
ZIP Code: 11784-1328
Phone: (631) 880-7285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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