Doctor Name: | GERALDINE DEGUZMAN-JAVIER |
NPI Number: | 1003053364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPAC |
License Number: | 004241 |
Business Practice Address: | 16th St. And 1st Ave. New York, NY - 10003 |
Business Phone Number: | 2124202121 |
Business Fax Number: | |
Mailing Address: | 16th St. And 1st Ave., NEW YORK |
State: | NY |
Postal Code: | 10003 |
Phone Number: | 2124202121 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 01/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 004241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |