Individual
MARK WILLIAM GUELZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 MEDICAL CENTER DR STE 1C, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
Mailing address
8 ROWLEY DR, NORTHPORT, NY 11768-3244
(561) 523-3216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301689
NY
Other
Enumeration date
06/08/2016
Last updated
07/03/2021
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