MEDICARE: MATTHEW JOEL GUY, MD, PC

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	207RG0100X	Gastroenterology Physician	108805	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02404	OTHER	NY	GHI-MEDICARE

General Provider Information

NPI Number	:	1902089501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW JOEL GUY, MD, PC

Provider Business Mailing Address
First Line	:	14404 ROCKAWAY BEACH BLVD
Second Line	:
City	:	NEPONSIT
State	:	NY
Zip	:	11694-1141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14404 ROCKAWAY BEACH BLVD
Second Line	:
City	:	NEPONSIT
State	:	NY
Zip	:	11694-1141
Country	:	US
Telephone Number	:	718-945-2714
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MATTHEW J GUY
Credential	:	MD
Telephone Number	:	718-945-1238

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	05/25/2016

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