Guzman, Marina Isabel

Guzman, Marina Isabel is an sole proprietor health care provider with primary practice located at 82 Middle Country Rd , Coram NY 11727-4411. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Guzman, Marina Isabel can be contacted via phone (631) 320-2220.

Contact Information

Primary practice address
82 Middle Country Rd Coram NY 11727-4411
Phone: (631) 320-2220
Fax: (631) 320-2236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 549631-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339675 New York

Profile Details

NPI number 1548456197
LBN Legal business name Guzman, Marina Isabel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Oct 3rd, 2018 - about 6 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 1548456197 NPPES
New York MEDICAID 02773706

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