Individual
ANTHONY GUOBADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2444 WALTON AVE, BRONX, NY 10468-6407
(718) 220-8293
(718) 220-8296
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001059
PROFESSIONAL LICENSE
NY
Enumeration date
10/05/2006
Last updated
03/19/2008
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