| Doctor Name: | DR. LISAMARIE GUIDICE |
| NPI Number: | 1053317024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | N005314 |
| Business Practice Address: | 230 Beach 102nd St Suite 3b Rockaway Park, NY - 116942861 |
| Business Phone Number: | 7183182811 |
| Business Fax Number: | 7183187689 |
| Mailing Address: | 230 Beach 102nd St, Suite 3b ROCKAWAY PARK |
| State: | NY |
| Postal Code: | 116942861 |
| Phone Number: | 7183182811 |
| Fax Number: | 7183187689 |
| NPI Enumeration Date: | 06/24/2005 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N005314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |