Healthcare Provider Details

I. General information

NPI: 1134902661
Provider Name (Legal Business Name): ROSANGELA GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CHURCH ST
FREEPORT NY
11520-3833
US

IV. Provider business mailing address

114 CHURCH ST
FREEPORT NY
11520-3833
US

V. Phone/Fax

Practice location:
  • Phone: 347-309-5010
  • Fax:
Mailing address:
  • Phone: 516-868-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number126899
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: