DR. Dmitry Gutkovich, OD

NPI #1962405258 in Islandia, New York

Provider Information

NPI Number: 1962405258
Entity Type: Individual
Name: DR. Dmitry Gutkovich, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 31, 2005
Last Updated: Jan 7, 2008

Practice Location

Address: 1850 VETERANS MEMORIAL HWY
City: Islandia
State: New York
ZIP Code: 11362
Phone: (631) 851-1564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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