Provider Demographics
NPI:1205099777
Name:GUYER, AUTUMN CHANDLER (MD)
Entity type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:CHANDLER
Last Name:GUYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AUTUMN
Other - Middle Name:RENEE
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:350 E 79TH ST APT 15H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-9206
Mailing Address - Country:US
Mailing Address - Phone:619-866-8210
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315063207K00000X
MA250890207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology