Individual
GEORGE GUBERNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 500, MINEOLA, NY 11501-4073
(516) 663-2046
(516) 663-2054
Mailing address
120 MINEOLA BLVD, SUITE 500, MINEOLA, NY 11501-4073
(516) 663-2046
(516) 663-2054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
152964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966129
—
NY
Enumeration date
09/20/2005
Last updated
05/12/2026
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