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NPI Code Detail

MEDICARE: JOHN G GUINAN PHD

MEDICARE:   JOHN G GUINAN  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist004421NY

General Provider Information

NPI Number : 1316431596
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN G GUINAN PHD
Provider Business Mailing Address
First Line : 80 MAIDEN LN RM 1003
Second Line :
City : NEW YORK
State : NY
Zip : 10038-4761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 MAIDEN LN RM 1003
Second Line :
City : NEW YORK
State : NY
Zip : 10038-4761
Country : US
Telephone Number : 212-509-2411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 06/20/2018

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