Gugliada, Gary Bartholomew

Gugliada, Gary Bartholomew is an sole proprietor health care provider with primary practice located at 89 Cromwell Ave , Staten Island NY 10304-3944. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Gugliada, Gary Bartholomew can be contacted via phone (718) 980-0126.

Contact Information

Primary practice address
89 Cromwell Ave Staten Island NY 10304-3944
Phone: (718) 980-0126
Fax: (718) 980-9252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N0048921 New York

Profile Details

NPI number 1184699795
LBN Legal business name Gugliada, Gary Bartholomew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2006
Last updated Feb 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184699795 NPPES
New York MEDICAID 01425227

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