Individual
DR. ELISCER GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 W 185TH ST, 2ND FLOOR, NEW YORK, NY 10033-3102
(212) 781-9223
(212) 781-0513
Mailing address
PO BOX 837, HARTSDALE, NY 10530-0837
(718) 562-6570
(718) 364-5313
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
161145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947860
—
NY
01
—
2285021
ECFMG
NY
Enumeration date
10/04/2005
Last updated
03/07/2023
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