Individual
GUY J PEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 E 122ND ST, NEW YORK, NY 10035-2906
(212) 360-7116
Mailing address
721 E 48TH ST, BROOKLYN, NY 11203-5801
(718) 451-1128
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
201871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01701431
—
NY
Enumeration date
08/31/2006
Last updated
01/11/2013
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