Individual
MARIO A GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
6655 FRESH POND RD, RIDGEWOOD, NY 11385-3261
(718) 497-1919
(718) 497-2152
Mailing address
6655 FRESH POND RD, RIDGEWOOD, NY 11385-3261
(718) 497-1919
(718) 497-2152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3078871
NY
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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