Provider Demographics
NPI:1912081092
Name:GUZI, ANDRIA (NP)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:
Last Name:GUZI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 PINEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-1860
Mailing Address - Country:US
Mailing Address - Phone:845-554-4024
Mailing Address - Fax:845-240-1547
Practice Address - Street 1:965 DUTCHESS TPKE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-1551
Practice Address - Country:US
Practice Address - Phone:845-486-9494
Practice Address - Fax:845-486-7592
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3327661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02143162Medicaid
NY0E5671Medicare ID - Type Unspecified
NY02143162Medicaid