Marino Epifanio Guzman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046812 Issued in NY

Practice address

311 Audubon Ave FL 2
New York, NY 10033-4213

Phone

(212) 795-3486

Fax

(212) 543-3230

NPI assigned

Oct 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192233600000",
    "number": "1578751640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334213",
            "telephone_number": "212-795-3486",
            "fax_number": "212-543-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AUDUBON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334213",
            "telephone_number": "212-795-3486",
            "fax_number": "212-543-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARINO",
        "middle_name": "EPIFANIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-13",
        "last_updated": "2007-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Anibal Guzman, CNA
• Lilibeth Guzman, LMSW
• Luisa Guzman, PHARMD
• Maria Guzman
• Mariela Guzman, RPH
• Marisol Guzman
• Mary Guzman
• Massiel V Guzman
• Melanie Guzman
• Miledys A Guzman, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.