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Individual

ALBERT ANTHONY GUERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
727 N BROADWAY STE B1, MASSAPEQUA, NY 11758-2348
(516) 301-7756
Mailing address
1000 MAIN ST STE 1, PORT JEFFERSON, NY 11777-2250
(516) 301-7756

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002213
NY

Other

Enumeration date
12/07/2023
Last updated
12/13/2023
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