MEDICARE: ROBERT ANTHONY GUIDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	164281	NY

General Provider Information

NPI Number	:	1386702033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ANTHONY GUIDA MD

Provider Business Mailing Address
First Line	:	1175 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1211
Country	:	US
Telephone Number	:	212-871-0900
Fax Number	:	212-871-0909

Provider Business Practice Location Address
First Line	:	1175 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1211
Country	:	US
Telephone Number	:	212-871-0900
Fax Number	:	212-871-0909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	12/17/2012

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