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Organization
KEVIN GUO, MEDICAL PC
Active
Organization
KEVIN GUO, MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY SUN (MANAGER)
(212) 966-8488
Entity
Organization
Contact information
Practice address
70 BOWERY, SUITE 308, NEW YORK, NY 10013-4607
(212) 966-8488
Mailing address
70 BOWERY, SUITE 308, NEW YORK, NY 10013-4607
(212) 966-8488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182332
—
NY
01
—
WEU171
MEDICARE GROUP NUMBER
NY
Enumeration date
10/09/2007
Last updated
05/01/2015
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