Individual provider · Type 1 NPI
Michael Ozlo Gudleski, PHYSICIAN ASSISTANT
Surgical Physician Assistant · New York, NY
NPI number
1376610337
Active
Practice location
114 And Amsterdam Ave, St Lukes Hospital Contunuum Health
New York, NY 10009
Fax (212) 523-4598
Mailing address
10 Stuyvesant Oval, Apt 12A
New York, NY 10009-2424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 025171 1 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1376610337
Michael Ozlo Gudleski, PHYSICIAN ASSISTANT's National Provider Identifier is 1376610337, issued on Nov 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.