SEMYON GUTMAN
CIN: XN19972P
Date of Birth: Nov. 18, 1936
Gender: Male
Created: Aug. 13, 2026
Address:
1202 AVE K 2F
, BROOKLYN, NY 11230
Last Updated: Aug. 13, 2026 3:22 PM
Latest Eligibility Snapshot
Date of Service: Aug. 14, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: MA Eligible
MCO: —
Recertification:
No
Code 60:
Yes
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 14, 2026 | Eligible | — | ✓ | — | Expert Census Referrals - CIN_IMPORT (1).csv | View |