Provider Demographics
NPI:1992140552
Name:GUEORGUIEV, STEFKA DIMITROVA
Entity type:Individual
Prefix:
First Name:STEFKA
Middle Name:DIMITROVA
Last Name:GUEORGUIEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 98TH ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5602
Mailing Address - Country:US
Mailing Address - Phone:718-533-6092
Mailing Address - Fax:
Practice Address - Street 1:555 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2925
Practice Address - Country:US
Practice Address - Phone:212-376-1810
Practice Address - Fax:212-376-1824
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6685301163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse