Organization
BLAIR J. GUIDERA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR JESSUP GUIDERA MD (OWNER)
(516) 338-0505
Entity
Organization
Contact information
Practice address
55 JERICHO TPKE, JERICHO, NY 11753-1013
(516) 338-0505
(516) 338-4378
Mailing address
305 E 40TH ST, APT 2L, NEW YORK, NY 10016-2189
(516) 338-0505
(516) 338-4378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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