MR. KOLY J. GUILAVOGUI


Address: 770 E 176th St Ste 315, Bronx, NY 10460-4617
Phone: 7185835150

MR. KOLY J. GUILAVOGUI (NPI# 1013528512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013528512
Entity Type Individual
Full Name MR. KOLY J. GUILAVOGUI
Credential CASAC-T
Practice Address 770 E 176th St Ste 315
Bronx
NY 10460-4617
Mailing Address 770 E 176th St
Bronx
NY 10460-4617
Practice Telephone 7185835150
Practice Fax Number 7182287648
Mailing Telephone 7185835150
Mailing Fax Number 7182287648
Enumeration Date 2020-08-10
Last Update Date 2020-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
31698-T NY Behavioral Health & Social Service Providers

Office Location

Street Address 770 E 176TH ST STE 315
City BRONX
State NY
Zip Code 10460-4617

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City BRONX
Zip Code 10460

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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