Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 005080 | NY |
N | 111NN1001X | Nutrition | 005080 | NY |
NPI | 1093817744 |
---|---|
Provider Name | Dr. Marisa Guerriero |
First Address | Flushing, NY 11358-1100 |
Second Address | Flushing, NY 11358-1100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |