Individual
DR. FLAVIA GUSMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 RIDGE RD, DOUGLASTON, NY 11363-1309
(718) 423-7788
(718) 229-2222
Mailing address
212 RIDGE RD, DOUGLASTON, NY 11363-1309
(718) 423-7788
(718) 229-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
234942
NY
2086S0129X
Vascular Surgery Physician
Primary
234942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02648864
—
NY
01
—
161881FL
PREFERRED CARE
NY
01
—
7172632
AETNA
NY
01
—
P010234942
BLUE CHOICE
NY
01
—
P020234942
BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/03/2006
Last updated
10/28/2016
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