Provider Demographics
NPI:1841593985
Name:GUTWEIN, FARRAH ELYSE (DO)
Entity type:Individual
Prefix:DR
First Name:FARRAH
Middle Name:ELYSE
Last Name:GUTWEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SAW MILL RIVER RD STE 206
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1555
Mailing Address - Country:US
Mailing Address - Phone:914-631-7777
Mailing Address - Fax:
Practice Address - Street 1:24 SAW MILL RIVER RD STE 206
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1555
Practice Address - Country:US
Practice Address - Phone:914-631-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261637207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology