Individual
DR. JUAN ANTONIO ANTONIO DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E. 77TH STREET, LENOX HILL HOSPITAL, DEPARTMENT OF ANESTHESIOLOGY, NEW YORK, NY 10075
(212) 434-2878
Mailing address
117 E. 57TH STREET, APT. 29CD., NEW YORK, NY 10022
(917) 887-0140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179611
NY
207L00000X
Anesthesiology Physician
179611-1
NY
208000000X
Pediatrics Physician
179611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01814002
—
NY
Enumeration date
06/23/2005
Last updated
10/02/2020
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