MRS. KELLY MARIE GUMTOW (NPI# 1497000665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497000665 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE GUMTOW |
| Credential | MSED |
| Practice Address |
1812 W State St Olean NY 14760-3359 |
| Practice Telephone | 7169692212 |
| Mailing Telephone | 7169692212 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1812 W STATE ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
| Find all providers in zip 14760 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
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| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1528674884 | Bella Avulova | Counselor | 7329 173rd St, Fresh Meadows, NY 11366-1429 | 2020-09-21 |
| 1114545191 | Nicole Byrne-navarro | Counselor | 128 Park Row Ste 1000, Cadyville, NY 12918-2817 | 2020-07-07 |
| 1558993543 | Kalya Castillo | Counselor | 69 Maple St Apt 1, Dobbs Ferry, NY 10522-4114 | 2020-02-07 |
| 1730710112 | Devika Llolanda Vigilance | Counselor | 1228 E 84th St Fl 1, Brooklyn, NY 11236-4912 | 2020-02-04 |
| 1821647652 | Andrew Brook | Counselor | 108 Hollyhock Rd, Levittown, NY 11756-2423 | 2019-09-04 |
| 1881242469 | Vanessa Ramirez | Counselor | 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 | 2019-08-28 |
| 1578110938 | Ariana Schiano | Counselor | 89 Ontario Ave, Massapequa, NY 11758-3934 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.