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Josue Rafael Gutierrez
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1730640848

Josue Rafael Gutierrez is a Student in an Organized Health Care Education/Training Program based in Shingle Springs, NY. Josue Rafael Gutierrez practices in Stony Brook, NY. The NPI Number for Josue Rafael Gutierrez is 1730640848 and holds a License No. (New York).

The current practice location address for Josue Rafael Gutierrez is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-689-8333.

Location: 101 Nicolls Rd, Stony Brook, NY, 95682-5120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730640848
Provider Name
Josue Rafael Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd, Stony Brook, NY, 95682-5120
Phone Number
631-689-8333
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-689-8333
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-689-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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