MEDICARE: KRISTIE GUARINO FNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	358352	NY

General Provider Information

NPI Number	:	1528922028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIE GUARINO FNP

Provider Business Mailing Address
First Line	:	605 CARDINAL RD
Second Line	:
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-5201
Country	:	US
Telephone Number	:	631-902-9265
Fax Number	:

Provider Business Practice Location Address
First Line	:	1663 NY-22
Second Line	:	BASEMENT
City	:	BREWSTER
State	:	NY
Zip	:	10509
Country	:	US
Telephone Number	:	845-600-5214
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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