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Contact Information

TEDI GUMA
7949 MYRTLE AVE
GLENDALE, NY11385-7451
 Phone: 718-682-7448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TEDI GUMA · (Male)

NPI Number 1801482930
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2020
Last updated 12/13/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 025994
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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