Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 297530 | NY |
NPI | 1013370550 |
---|---|
Provider Name | Dr. Christopher Guszack |
First Address | Bay Shore, NY 11706-8408 |
Second Address | Bay Shore, NY 11706-8408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 03/06/2021 |