Individual
MARK GUELFGUAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9216
(718) 226-1697
Mailing address
PO BOX 4605, WARREN, NJ 07059-0605
(718) 876-9030
(718) 876-3462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
235429-1
NY
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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