Provider Demographics
NPI:1073553079
Name:GUEST, REBECCA D (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:D
Last Name:GUEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E 70TH ST
Mailing Address - Street 2:EHS MSKCC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5405
Mailing Address - Country:US
Mailing Address - Phone:646-888-4031
Mailing Address - Fax:
Practice Address - Street 1:222 E 70TH ST
Practice Address - Street 2:EHS MSKCC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5405
Practice Address - Country:US
Practice Address - Phone:646-888-4031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421736207P00000X
NY2466962083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine