Basic Information
Provider Information
NPI: 1871552307
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GURIAN
FirstName: CYNTHIA
MiddleName: TAPOGNA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GURIAN
OtherFirstName: CYNTHIA
OtherMiddleName: TAPOGNA
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 2
Mailing Information
Address1: 270 PARK AVE
Address2:  
City: HUNTINGTON
State: NY
PostalCode: 117432787
CountryCode: US
TelephoneNumber: 6313512000
FaxNumber:  
Practice Location
Address1: 270 PARK AVE
Address2:  
City: HUNTINGTON
State: NY
PostalCode: 117432787
CountryCode: US
TelephoneNumber: 6313512000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2006
LastUpdateDate: 05/25/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X171575NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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