Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 014289 | NY |
Y | 103TC0700X | Clinical Psychologist | 014289 | NY |
NPI | 1003835810 |
---|---|
Provider Name | Daniel N Guerra |
First Address | New York, NY 10016-0801 |
Second Address | New York, NY 10016-0801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 27/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02356036 | (05) | NY |