Doctor Name: | JULIETA A DEGUZMAN |
NPI Number: | 1063459030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 156490 |
Business Practice Address: | 12506 101st Ave South Richmond Hill, NY - 114191412 |
Business Phone Number: | 7188492900 |
Business Fax Number: | 7189432631 |
Mailing Address: | 1000 Zeckendorf Blvd, GARDEN CITY |
State: | NY |
Postal Code: | 115302133 |
Phone Number: | 5165426880 |
Fax Number: | 5165425556 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 156490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |