Individual
NIANZU GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 WILLIS AVE, MINEOLA, NY 11501-2620
(516) 294-0030
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
212181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01986429
—
NY
Enumeration date
06/28/2005
Last updated
07/08/2007
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