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General NPI Number Information
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NPI Number | 1386838548
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Entity Type | Organization
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Legal Business Name | GARY GUARNACCIA MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 251 E 33RD ST LBBY 2
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City | NEW YORK
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State | NY
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Zip | 10016-4804
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Country | US
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Telephone | 212-336-3827
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Fax | 212-388-6454
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Provider Business Mailing Address
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Address Line | 251 E 33RD ST LBBY 2
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City | NEW YORK
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State | NY
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Zip | 10016-4804
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Country | US
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Telephone | 212-336-3827
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Fax | 212-388-6454
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY JOSEPH GUARNACCIA
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Credential | MD
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Telephone | 718-268-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 124783
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License Number State | NY
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