Provider Demographics
NPI:1205164191
Name:GUTMAN, STANLEY ZACHARY (PA)
Entity type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:ZACHARY
Last Name:GUTMAN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1910 ARTHUR AVENUE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-6305
Mailing Address - Country:US
Mailing Address - Phone:718-583-5150
Mailing Address - Fax:718-466-5984
Practice Address - Street 1:1910 ARTHUR AVENUE
Practice Address - Street 2:7TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6305
Practice Address - Country:US
Practice Address - Phone:718-583-5150
Practice Address - Fax:718-466-5984
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical