Provider Demographics
NPI:1417929167
Name:GUTNIK, ZHANNA V (MD)
Entity Type:Individual
Prefix:
First Name:ZHANNA
Middle Name:V
Last Name:GUTNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1616 VOORHIES AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3914
Mailing Address - Country:US
Mailing Address - Phone:718-332-5678
Mailing Address - Fax:718-332-7739
Practice Address - Street 1:1616 VOORHIES AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3914
Practice Address - Country:US
Practice Address - Phone:718-332-5678
Practice Address - Fax:718-332-7739
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2015-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY207278207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH27603Medicare UPIN