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Individual

MR. FRANK A GUGINO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
575 ALBERTA DR, SUITE 2, AMHERST, NY 14226-1139
(716) 832-0720
(716) 832-5867
Mailing address
575 ALBERTA DR, SUITE 2, AMHERST, NY 14226-1139
(716) 832-0720
(716) 832-5867

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
476386
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00769324
OUT PATIENT MEDICAID PROVIDER #
NY
Enumeration date
05/10/2011
Last updated
05/10/2011
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