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Individual

EMMANUEL GUIZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
(607) 763-5064
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
212184
NY
208M00000X
Hospitalist Physician
Primary
212184
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01881369
NY
Enumeration date
09/02/2005
Last updated
11/19/2011
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