Most Relevant Information
Provider Data
| NPI Number: | 1003265620 |
| Provider Name: | MARK GUZMAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 009077 |
Most Important Dates
| Enumeration Date: | 06/04/2016 |
| Last Updated: | 04/05/2023 |
Provider Practice Location
475 NORTHERN BLVD STE 19
GREAT NECK
NY
110214802
Practice Location Phone/Fax
| Phone: | 5168290030 |
| Fax: |
Provider Mailing Location
4 RALEIGH LN
KINGS PARK
NY
117544418
Provider Mailing Phone/Fax
| Phone: | 5164358513 |
| Fax: |