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Individual

DR. GARY BARTHOLOMEW GUGLIADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
89 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 980-0126
(718) 980-9252
Mailing address
89 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 980-0126
(718) 980-9252

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N0048921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01425227
NY
Enumeration date
02/18/2006
Last updated
02/15/2012
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