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General NPI Number Information
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NPI Number | 1679560833
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Entity Type | Individual
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Provider Name | ELISCER GUZMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 629 W 185TH ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10033-3102
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Country | US
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Telephone | 212-781-9223
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Fax | 212-781-0513
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Provider Business Mailing Address
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Address Line | PO BOX 837
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City | HARTSDALE
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State | NY
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Zip | 10530-0837
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Country | US
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Telephone | 718-562-6570
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Fax | 718-364-5313
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 161145
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License Number State | NY
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