Individual
BRIAN YI GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(201) 905-4488
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(201) 905-4488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
324201
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
01/06/2025
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