Individual
MR. PEDRO JUSTO GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
21 AUDUBON AVE, NEW YORK, NY 10032
(212) 342-4700
(212) 342-4725
Mailing address
1640 RENSSELAER RD, TEANECK, NJ 07666-6348
(201) 833-2420
(212) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003878
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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