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NPI Code Detail

MEDICARE: PAUL J GUERRINO, DDS, PC

MEDICARE: PAUL J GUERRINO, DDS, PC
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
1122300000XDentist040460NY

General Provider Information

NPI Number : 1013387125
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL J GUERRINO, DDS, PC
Provider Business Mailing Address
First Line : 400 E SANDFORD BLVD
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10550-4725
Country : US
Telephone Number : 914-699-6568
Fax Number : 914-699-8140
Provider Business Practice Location Address
First Line : 400 E SANDFORD BLVD
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10550-4725
Country : US
Telephone Number : 914-699-6568
Fax Number : 914-699-8140
Authorized Official
Title or Position : OWNER
Name : PAUL J GUERRINO
Credential :
Telephone Number : 914-420-7083
Provider Enumeration Date : 10/01/2015
Last Update Date : 10/01/2015

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