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Contact Information

CARLY J GUTIERREZ
100 W NICHOLAI ST UNIT 2
HICKSVILLE, NY11801-3887
 Phone: 516-788-7258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CARLY J GUTIERREZ · (Female)

NPI # 1114415015
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2018
Last updated 10/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # D010069
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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