| Kevin Guo, Medical Pc | |
|
70 Bowery Suite 308 New York NY 10013-4607 | |
| (212) 966-8488 | |
| Not Available |
| Full Name | Kevin Guo, Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Bowery, New York, New York |
| Authorized Official Name and Position | Amy Sun (MANAGER) |
| Authorized Official Contact | 2129668488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Guo, Medical Pc 70 Bowery Suite 308 New York NY 10013-4607 Ph: (212) 966-8488 | Kevin Guo, Medical Pc 70 Bowery Suite 308 New York NY 10013-4607 Ph: (212) 966-8488 |
| NPI Number | 1447448048 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 05/01/2015 |
| Medicare PECOS PAC ID | 3971552092 |
|---|---|
| Medicare Enrollment ID | O20050115000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447448048 | NPI | - | NPPES |
| WEU171 | Other | NY | MEDICARE GROUP NUMBER |
| 02182332 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221773 (New York) | Primary |
| Provider Name | Kevin J Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205928694 PECOS PAC ID: 5698724714 Enrollment ID: I20050127000889 |
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