Healthcare Provider Details

I. General information

NPI: 1013541275
Provider Name (Legal Business Name): ALBINA GUZMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 OCEAN AVE STE LP
BROOKLYN NY
11235-3354
US

IV. Provider business mailing address

2675 E 7TH ST APT 2G
BROOKLYN NY
11235-6253
US

V. Phone/Fax

Practice location:
  • Phone: 917-768-5477
  • Fax:
Mailing address:
  • Phone: 347-226-0453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number345679
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: