Individual
JOHN GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
213 8TH AVE, NEW YORK, NY 10011-1605
(212) 989-8485
Mailing address
213 8TH AVE, NEW YORK, NY 10011-1605
(211) 298-9848
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
004647-1
NY
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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