Provider Demographics
NPI:1255546446
Name:FRANCINE GUZMAN, M.D. P.C. DBA POLLACK, BARBACCIA & GUZMAN MDPC
Entity type:Organization
Organization Name:FRANCINE GUZMAN, M.D. P.C. DBA POLLACK, BARBACCIA & GUZMAN MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMIESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-678-4222
Mailing Address - Street 1:2000 N VILLAGE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1001
Mailing Address - Country:US
Mailing Address - Phone:516-678-4222
Mailing Address - Fax:516-678-0919
Practice Address - Street 1:2000 N VILLAGE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1001
Practice Address - Country:US
Practice Address - Phone:516-678-4222
Practice Address - Fax:516-678-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118985207V00000X, 207VX0000X, 207V00000X
NY119931207VG0400X
NY147964207VX0000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY315851Medicare UPIN