Individual
MRS. GLENNIS NAOMI EDWARDS-GUISHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
16TH STREET 1ST AVENUE, 9 BERNSTEIN, NEW YORK, NY 10003
(212) 420-2969
Mailing address
964 E 179TH ST, PRIVATE BOX 7, BRONX, NY 10460-2270
(347) 223-7730
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006478
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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