Pean, Guy J

Pean, Guy J is an individual health care provider with primary practice located at 177 E 122Nd St , New York NY 10035-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Pean, Guy J can be contacted via phone (212) 360-7116.

Contact Information

Primary practice address
177 E 122Nd St New York NY 10035-2906
Phone: (212) 360-7116
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 201871 New York

Profile Details

NPI number 1255442513
LBN Legal business name Pean, Guy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 11th, 2013 - about 13 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 1255442513 NPPES
New York MEDICAID 01701431

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