Individual
MR. ERNESTO JOSE GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
3544 JEROME AVE, BRONX, NY 10467-1005
(718) 920-5521
Mailing address
35 GILBERT PL, YONKERS, NY 10701-1539
(954) 864-1059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
275048
NY
Other
Enumeration date
04/22/2013
Last updated
04/05/2016
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