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Organization

LONG ISLAND ARTHRITIS AND RHEUMATISM MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLENA GUZHVA M.D. (OWNER)
(516) 439-0380
Entity
Organization

Contact information

Practice address
200 BOUNDARY AVE, SUITE 200, MASSAPEQUA, NY 11758-1152
(516) 439-0380
(631) 271-9155
Mailing address
PO BOX 222202, GREAT NECK, NY 11022-2202
(516) 439-0380
(631) 271-9155

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
251871
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251871
LICENSE
NY
Enumeration date
09/29/2010
Last updated
09/29/2010
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