Bautista, Maria Lourdes De Guzman

Bautista, Maria Lourdes De Guzman is an individual health care provider with primary practice located at 4422 3Rd Ave , Bronx NY 10457-2545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bautista, Maria Lourdes De Guzman can be contacted via phone (718) 960-9331.

Contact Information

Primary practice address
4422 3Rd Ave Bronx NY 10457-2545
Phone: (718) 960-9331
Fax: (718) 960-3792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 245271 New York

Profile Details

NPI number 1578673968
LBN Legal business name Bautista, Maria Lourdes De Guzman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578673968 NPPES
New York MEDICAID 02362467

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