MEDICARE: ANNA MARIA CATERINA GUNTHER PNP

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	363LP0200X	Pediatric Nurse Practitioner	F383436-01	NY

General Provider Information

NPI Number	:	1811609316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA CATERINA GUNTHER PNP

Provider Business Mailing Address
First Line	:	1486 DEER PARK AVE UNIT A
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-1214
Country	:	US
Telephone Number	:	631-425-3811
Fax Number	:	929-455-9839

Provider Business Practice Location Address
First Line	:	1486 DEER PARK AVE UNIT A
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-1214
Country	:	US
Telephone Number	:	631-425-3811
Fax Number	:	929-455-9839

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

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	04/25/2023

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