Individual
ELIZABETH GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 WILLOUGHBY ST, 5TH FLS, BROOKLYN, NY 11201
(718) 250-6960
(718) 250-6493
Mailing address
18116 HENLEY RD, JAMAICA, NY 11432-2307
(718) 250-6960
(718) 250-6493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
167703
NY
207RH0000X
Hematology (Internal Medicine) Physician
167703
NY
207RH0003X
Hematology & Oncology Physician
Primary
167703
NY
207RX0202X
Medical Oncology Physician
167703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01844944
—
NY
Enumeration date
05/17/2006
Last updated
09/23/2011
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