Individual
EDWIN GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-0293
(212) 305-9058
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-0293
(212) 305-9058
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170300000X
—
NY
Enumeration date
01/26/2021
Last updated
01/26/2021
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