Individual
CHANILLY GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E 115TH ST, NEW YORK, NY 10029-1186
(917) 485-7280
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2022
(917) 485-7291
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
03/27/2019
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