Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 252995 | NY |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 252995 | NY |
NPI | 1770735607 |
---|---|
Provider Name | Dr. Aleksandr Guchinskiy |
First Address | Middletown, NY 10941-4028 |
Second Address | Middletown, NY 10941-7001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 09/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03118090 | (05) | NY |