Provider Demographics
NPI:1093151284
Name:GUIRAND MEDICAL CARE, PC
Entity Type:Organization
Organization Name:GUIRAND MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:GERTRUDE
Authorized Official - Last Name:GUIRAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-755-5855
Mailing Address - Street 1:101 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2518
Mailing Address - Country:US
Mailing Address - Phone:516-755-5855
Mailing Address - Fax:
Practice Address - Street 1:101 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2518
Practice Address - Country:US
Practice Address - Phone:516-755-5855
Practice Address - Fax:516-755-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251026261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03133093Medicaid
AI7TMedicare PIN