Individual
EUGENE A GUIDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 382-2222
Mailing address
1462 ERIE BLVD, SCHENECTADY, NY 12305-1026
(518) 243-1020
(518) 243-1021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003744-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365891
—
NY
Enumeration date
07/03/2006
Last updated
06/16/2008
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