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Individual

MARIE GUOBADIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(716) 616-4046
(718) 616-4056
Mailing address
PO BOX 365, UNIONDALE, NY 11553
(631) 219-4979
(718) 616-4056

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
154018
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00841709
NY
Enumeration date
07/18/2006
Last updated
10/14/2010
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