Provider Demographics
NPI:1487801973
Name:GUEKJIAN, TED
Entity type:Individual
Prefix:MR
First Name:TED
Middle Name:
Last Name:GUEKJIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2417
Mailing Address - Country:US
Mailing Address - Phone:917-805-1741
Mailing Address - Fax:
Practice Address - Street 1:216 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2805
Practice Address - Country:US
Practice Address - Phone:212-875-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050875183500000X
NYI050875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist