Individual
DR. LISAMARIE GUIDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
230 BEACH 102ND ST, STE 3B, ROCKAWAY PARK, NY 11694
(718) 318-2811
(718) 318-7689
Mailing address
230 BEACH 102ND ST, SUITE 3B, ROCKAWAY PARK, NY 11694-2861
(718) 318-2811
(718) 318-7689
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005314
NY
Other
Enumeration date
06/24/2005
Last updated
07/30/2018
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