Provider Demographics
NPI:1902801103
Name:GUARINI, LUDOVICO (MD)
Entity Type:Individual
Prefix:
First Name:LUDOVICO
Middle Name:
Last Name:GUARINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-6652
Mailing Address - Fax:718-635-6149
Practice Address - Street 1:948 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-8260
Practice Address - Fax:718-635-6147
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1445742080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00878602Medicaid
NY02B311OtherEMPIRE BCBS
NY050125000073OtherFIDELIS CARE NY
NY1000016415OtherAFFINITY HEALTH
NY144574OtherHIP HEALTHCARE NY
NY2375140OtherUS HEALTHCARE HMO
NY113491197-02OtherLOCAL 1199 NBF
NY257140401OtherHEALTH PLUS
NY2601198OtherGHI PPO, CBP
NY113491197OtherEMPIRE PLAN UHC
NY4C4650OtherHEALTH NET OF NORTHEAST
NYNS1147OtherOXFORD HEALTH PLANS
NY144574-B15OtherHEALTH FIRST
NY702069OtherFIRST HEALTH
NYBK0001259-02OtherAMERICHOICE
NY4287598OtherAETNA PPO
NY108202OtherUNITED HEALTHCARE
NYGL4574OtherATLANTIS HEALTH PLAN
NY2601198OtherGHI PPO, CBP
NY4C4650OtherHEALTH NET OF NORTHEAST