Provider Demographics
NPI:1689827644
Name:NEUHAUS, GILDA GUZMAN (MD)
Entity type:Individual
Prefix:DR
First Name:GILDA
Middle Name:GUZMAN
Last Name:NEUHAUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GILDA
Other - Middle Name:
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16042 85TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3027
Mailing Address - Country:US
Mailing Address - Phone:718-845-4145
Mailing Address - Fax:718-738-9482
Practice Address - Street 1:16042 85TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3027
Practice Address - Country:US
Practice Address - Phone:718-845-4145
Practice Address - Fax:718-738-9482
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2014-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMD 0932092080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE15358Medicare UPIN