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NPI Code Detail

MEDICARE: MARIANNE TERESE GUSCHWAN M.D.

MEDICARE:   MARIANNE TERESE GUSCHWAN  M.D.
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
12084P0800XPsychiatry Physician196351NY
22084P0802XAddiction Psychiatry Physician196351NY

General Provider Information

NPI Number : 1730396540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE TERESE GUSCHWAN M.D.
Provider Business Mailing Address
First Line : 155 E 31ST ST
Second Line : SUITE #25-L
City : NEW YORK
State : NY
Zip : 10016-6800
Country : US
Telephone Number : 212-448-9450
Fax Number : 212-251-0137
Provider Business Practice Location Address
First Line : 155 E 31ST ST
Second Line : SUITE #25-L
City : NEW YORK
State : NY
Zip : 10016-6800
Country : US
Telephone Number : 212-448-9450
Fax Number : 212-251-0137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 12/31/2010

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Directions to “ MARIANNE TERESE GUSCHWAN M.D.” Practice Location

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