Individual
ALICE GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, DIVISION OF GERIATRICS, 2ND FL, BRONX, NY 10467-2404
(866) 663-8255
(718) 655-9672
Mailing address
3411 WAYNE AVE, DIVISION OF GERIATRICS, 2ND FL, BRONX, NY 10467-2509
(718) 920-6722
(718) 655-9672
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
275031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03892793
—
NY
Enumeration date
07/13/2010
Last updated
12/30/2020
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