Individual
MR. MICHAEL GUGNISHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4808 FORT HAMILTON PKWY, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
2222 OCEAN AVE APT 4G, BROOKLYN, NY 11229-2272
(917) 349-9502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F310109-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15120800
NJ
Other
Enumeration date
02/10/2021
Last updated
04/20/2026
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