MEDICARE: GUZAL SEYAL MD

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
1	208M00000X	Hospitalist	E-9445	AR
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1396094868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUZAL SEYAL MD

Provider Business Mailing Address
First Line	:	26 SKYTOP GARDENS
Second Line	:	APT # 9
City	:	PARLIN
State	:	NJ
Zip	:	08859
Country	:	US
Telephone Number	:	732-925-7146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 GRAND CONCOURSE
Second Line	:
City	:	BRONX, NEW YORK
State	:	NY
Zip	:	10457
Country	:	US
Telephone Number	:	718-960-2099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	08/13/2017

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