Individual
SONGCHUAN GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 60TH ST FL 5, BROOKLYN, NY 11220-4209
(718) 439-3250
(718) 492-4575
Mailing address
757 60TH ST FL 5, BROOKLYN, NY 11220-4209
(718) 439-3250
(718) 492-4575
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
272302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04056093
—
NY
Enumeration date
02/18/2011
Last updated
09/25/2018
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