Individual
IDA GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 427-1540
(212) 410-7196
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
30-302364
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F302364
NY
Other
Enumeration date
08/06/2008
Last updated
10/25/2016
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