Healthcare Provider Details

I. General information

NPI: 1093151284
Provider Name (Legal Business Name): GUIRAND MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HEMPSTEAD TPKE
FARMINGDALE NY
11735-2518
US

IV. Provider business mailing address

101 HEMPSTEAD TPKE
FARMINGDALE NY
11735-2518
US

V. Phone/Fax

Practice location:
  • Phone: 516-755-5855
  • Fax: 516-755-0330
Mailing address:
  • Phone: 516-755-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number251026
License Number StateNY

VIII. Authorized Official

Name: DR. JOYCE GERTRUDE GUIRAND
Title or Position: PRESIDENT/OWNER
Credential: D.O.
Phone: 516-755-5855