Provider Demographics
NPI:1780649517
Name:GUO, MICHAEL WENBIN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:WENBIN
Last Name:GUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ALLEN ST
Mailing Address - Street 2:UNIT 3C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5302
Mailing Address - Country:US
Mailing Address - Phone:212-233-2078
Mailing Address - Fax:212-233-2079
Practice Address - Street 1:2 ALLEN ST
Practice Address - Street 2:UNIT 3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5302
Practice Address - Country:US
Practice Address - Phone:212-233-2078
Practice Address - Fax:212-233-2079
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY233526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine