MEDICARE: DR. ANTHONY C GUARINO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N005363	NY

General Provider Information

NPI Number	:	1700857992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY C GUARINO DPM

Provider Business Mailing Address
First Line	:	274 MADISON AVE
Second Line	:	ROOM 605
City	:	NEW YORK
State	:	NY
Zip	:	10016-0701
Country	:	US
Telephone Number	:	212-532-8278
Fax Number	:	212-532-7021

Provider Business Practice Location Address
First Line	:	274 MADISON AVE
Second Line	:	ROOM 605
City	:	NEW YORK
State	:	NY
Zip	:	10016-0701
Country	:	US
Telephone Number	:	212-532-8278
Fax Number	:	212-532-7021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/06/2014

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