Guzman, Edwin
Guzman, Edwin is an individual health care provider with primary practice located at 3959 Broadway , New York NY 10032-1559. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Guzman, Edwin can be contacted via phone (212) 305-0293.Contact Information
Primary practice address
3959 Broadway
New York NY 10032-1559
Phone: (212) 305-0293
Fax: (212) 305-9058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X |
Profile Details
| NPI number | 1619568375 |
|---|---|
| LBN Legal business name | Guzman, Edwin |
| Credentials | CGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2021 |
| Last updated | Jan 26th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619568375 | NPPES |
| New York | MEDICAID | 170300000X |
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