Provider Demographics
NPI:1710149927
Name:GUO, YUJIN (MD,)
Entity Type:Individual
Prefix:
First Name:YUJIN
Middle Name:
Last Name:GUO
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:141 COMBS AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1432
Mailing Address - Country:US
Mailing Address - Phone:516-569-0696
Mailing Address - Fax:516-569-3677
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:SUITE 8C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4277
Practice Address - Country:US
Practice Address - Phone:718-888-7703
Practice Address - Fax:718-886-8603
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY60--240484208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery