Individual
EMILY GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 2ND ST, SAINT JAMES, NY 11780-2027
(631) 291-0244
Mailing address
198 2ND STREET, SAINT JAMES, NY 11780
(631) 291-0244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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