Individual
DR. MICHAEL GUIDO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3495
(631) 444-2599
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
222674
NY
2084N0600X
Clinical Neurophysiology Physician
222674
NY
2084V0102X
Vascular Neurology Physician
222674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410162
—
NY
01
—
2M3732
EMPIRE BC/BS
NY
01
—
7224450
AETNA
NY
Enumeration date
06/08/2006
Last updated
04/13/2022
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