Provider Demographics
NPI:1073650792
Name:GUEVARA, EMMA HAYDEE SAENZ (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMA HAYDEE
Middle Name:SAENZ
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:72 44 KESSEL ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5934
Mailing Address - Country:US
Mailing Address - Phone:718-268-7526
Mailing Address - Fax:718-268-7526
Practice Address - Street 1:8900 VAN WYCK EXPWY
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418-2897
Practice Address - Country:US
Practice Address - Phone:718-268-7526
Practice Address - Fax:718-268-7526
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY149448208000000X
NY14944812080P0207X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF53947Medicare UPIN