Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 171395-1 | NY |
N | 111NI0900X | Internist | 171395-1 | NY |
Y | 207RP1001X | Pulmonary Disease | 171395-1 | NY |
NPI | 1023073103 |
---|---|
Provider Name | Dr. Anthony Guerrino |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Kingston, NY 12401-3933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01781653 | (05) | NY |
F65741 | (02) | NY |