Individual
JAY T GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252767
MA
207RP1001X
Pulmonary Disease Physician
Primary
285284
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
285284
NY
Other
Enumeration date
06/29/2012
Last updated
08/12/2020
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