Healthcare Provider Details

I. General information

NPI: 1013248129
Provider Name (Legal Business Name): STEPHANIE N GUZMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 53RD ST PHARMACY - 3RD FL
NEW YORK NY
10022-5243
US

IV. Provider business mailing address

160 E 53RD ST PHARMACY - 3RD FL
NEW YORK NY
10022-5243
US

V. Phone/Fax

Practice location:
  • Phone: 212-610-0117
  • Fax:
Mailing address:
  • Phone: 212-610-0117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051876
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: