Gusmano, Flavia

Gusmano, Flavia is an sole proprietor health care provider with primary practice located at 212 Ridge Rd , Douglaston NY 11363-1309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Gusmano, Flavia can be contacted via phone (718) 423-7788.

Contact Information

Primary practice address
212 Ridge Rd Douglaston NY 11363-1309
Fax: (718) 229-2222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 234942 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 234942 New York

Profile Details

NPI number 1992734693
LBN Legal business name Gusmano, Flavia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Oct 28th, 2016 - about 8 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 1992734693 NPPES
New York Other 7172632 AETNA
New York Other P010234942 AETNA
New York Other P020234942 AETNA
New York MEDICAID 02648864 AETNA
New York Other 161881FL AETNA

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