LUIZA GUSEYNOVPHYSICIANPLLC NPI 1629384342

NPI Information

NPI: 1629384342
Provider Name: LUIZA GUSEYNOV,PHYSICIAN,PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3108 KINGSBRIDGE AVE
GROUND FLOOR,OFFICE B
BRONX, NY
ZIP 10463
Phone: (718) 432-0200
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LUIZA GUSEYNOV,PHYSICIAN,PLLC is a primary care clinic center in Bronx, NY. LUIZA GUSEYNOV,PHYSICIAN,PLLC NPI is 1629384342. The provider is registered as an organization entity type.

The provider's business location address is:

3108 KINGSBRIDGE AVE
GROUND FLOOR,OFFICE B
BRONX, NY
ZIP 10463-956
Phone: (718) 432-0200
Fax: (718) 432-0201

The provider's authorized official is Luiza Guseynov .
The authorized official title is Physician and has the following contact phone number (718) 432-0200.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 8/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	233370	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02625643	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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