Healthcare Provider Details

I. General information

NPI: 1164448007
Provider Name (Legal Business Name): FRANCINE AMELIA GUZMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N VILLAGE AVE SUITE 104
ROCKVILLE CENTRE NY
11570-1078
US

IV. Provider business mailing address

2000 N VILLAGE AVE SUITE 104
ROCKVILLE CENTRE NY
11570-1078
US

V. Phone/Fax

Practice location:
  • Phone: 516-678-4222
  • Fax: 516-678-0919
Mailing address:
  • Phone: 516-678-4222
  • Fax: 516-678-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number147964
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: