Guevarra Pena, Michelle

Guevarra Pena, Michelle is an sole proprietor health care provider with primary practice located at 14A Jayne Avenue , Patchogue NY 11772. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Guevarra Pena, Michelle can be contacted via phone (631) 475-0222.

Contact Information

Primary practice address
14A Jayne Avenue Patchogue NY 11772
Phone: (631) 475-0222
Fax: (631) 475-4586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2095111 New York

Profile Details

NPI number 1588628911
LBN Legal business name Guevarra Pena, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Dec 30th, 2020 - about 4 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 1588628911 NPPES
Other 113660574 MAGNACARE
Other 7121410 MAGNACARE
Other 180045562 MAGNACARE
Other 3C3882 MAGNACARE
Other 000000082260 MAGNACARE
Other 0498205 MAGNACARE
Other 113660574 MAGNACARE
Other 2087772 MAGNACARE
Other 3080739 MAGNACARE
Other 430A71 MAGNACARE
Other AA72021 MAGNACARE
Other P2807516 MAGNACARE
MEDICAID 02315391 MAGNACARE
Other 1800045562 MAGNACARE
Other 2095111 MAGNACARE
Other 2095115W MAGNACARE
Other 3818002003 MAGNACARE

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