Blaise Guzzardo DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLAISE GUZZARDO DDS PC

Practice address

94-71 217TH St
Queens Village, NY 11428

Phone

(718) 464-4442

Fax

(718) 464-4509

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Blaise Anthony Guzzardo, DDSNPI 1750777082

Title

President

Phone

(718) 464-4442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blaise Anthony Guzzardo, DDS

  • General Practice Dentistry
  • Queens Village, NY
  • NPI 1750777082
  NPD (past) Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1740384874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-71 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-464-4442",
            "fax_number": "718-464-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-71 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-464-4442",
            "fax_number": "718-464-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAISE GUZZARDO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "GUZZARDO",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-464-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronit Bines, OTR/L
• Nisha Binoj
• Ariet S Bishara, PHARM D
• Abiy Arefeayine Bizuneh, M.D.
• Yasmine Blair
• Even Barbara Blaise, RN
• Nyah Blake
• Blazing Journey
• Bloom Care LLC
• Blueberry Early Intervention Inc

• General Practice Dentistry in Queens Village, NY
• Providers in Queens Village, 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 9, 2012; 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.