EDDYLEES GUZMAN (NPI# 1629543905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629543905 |
| Entity Type | Individual |
| Full Name | EDDYLEES GUZMAN |
| Practice Address |
262 Woodward Ave Kenmore NY 14217-1539 |
| Practice Telephone | 7168420440 |
| Mailing Telephone | 7168420440 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
262 WOODWARD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144643974 | Tracy Garrison | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2014-01-30 |
| 1588276141 | Kenny Smith | Marriage & Family Therapist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-08-17 |
| 1164049284 | Latoya Kimberly Slew-ngarambe | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-07-06 |
| 1558985002 | Thomas Earl Lewis Jr. | Case Manager/Care Coordinator | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-06-01 |
| 1699398099 | Alexis M Dwyer | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-05-20 |
| 1669003604 | Desiree Carol Mozee-harris | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-01-29 |
| 1770120214 | George Edward Stokes Jr. | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-12-03 |
| 1932743960 | Jordan Yamonaco | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-11-02 |
| 1871140426 | Yvon Serge Dimiyo | Counselor | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-08-19 |
| 1316509284 | Christian Josue Lopez | Peer Specialist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509284 | Christian Josue Lopez | Peer Specialist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-07-01 |
| 1750849501 | Carolyn T Cochran | Peer Specialist | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDDYLEES GUZMAN.
| 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.