Individual
DR. LUIS ALBERTO GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 ROOSEVELT AVE, JACKSON HTS, NY 11372-8014
(718) 478-7272
(718) 478-6455
Mailing address
9555 ROOSEVELT AVE, JACKSON HTS, NY 11372-8014
(718) 478-7272
(718) 478-6455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
109513-1
NY
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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