Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 242923 | NY |
NPI | 1174767529 |
---|---|
Provider Name | Dr. Maria Sarah N. Guevarra |
First Address | Nesconset, NY 11767-2093 |
Second Address | Nesconset, NY 11767-2093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 29/04/2009 |