Provider Demographics
NPI:1902999287
Name:RENVOIZE, GUY ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:ALEXANDER
Last Name:RENVOIZE
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 1:161 W 15TH ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6725
Mailing Address - Country:US
Mailing Address - Phone:646-220-1820
Mailing Address - Fax:
Practice Address - Street 1:161 W 15TH ST APT 2G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6725
Practice Address - Country:US
Practice Address - Phone:646-220-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14471207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBO4923Medicare UPIN
NY15D251Medicare ID - Type Unspecified