Individual
QIAO GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9436 58TH AVE # G4, ELMHURST, NY 11373
(347) 947-7692
(347) 947-7680
Mailing address
9436 58TH AVE # G4, ELMHURST, NY 11373-5149
(347) 947-7692
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
60269058
NY
Other
Enumeration date
03/27/2009
Last updated
06/22/2018
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