Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 284519 | NY |
N | 207RP1001X | Pulmonary Disease | 284519 | NY |
N | 207RS0012X | Sleep Medicine | 284519 | NY |
NPI | 1376503417 |
---|---|
Provider Name | Dr. Melanie Lynne Guerrero |
First Address | Lagrangeville, NY 12540-5128 |
Second Address | Poughkeepsie, NY 12601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 26/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04657172 | (05) | NY |
200886490 | (05) | IN |