Individual
DIEGO GUAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4728 44TH ST, FLUSHING, NY 11377-6360
(347) 400-6435
Mailing address
4728 44TH ST, WOODSIDE, NY 11377-6360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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