Provider Demographics
NPI:1346364056
Name:GUTMAN, LAWRENCE AARON (MS PT)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:AARON
Last Name:GUTMAN
Suffix:
Gender:M
Credentials:MS PT
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Other - Credentials:
Mailing Address - Street 1:418 E 76TH ST
Mailing Address - Street 2:APT 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3130
Mailing Address - Country:US
Mailing Address - Phone:917-825-4439
Mailing Address - Fax:
Practice Address - Street 1:418 E 76TH ST
Practice Address - Street 2:APT 3D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3130
Practice Address - Country:US
Practice Address - Phone:917-825-4439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY026023225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist