Individual
AMPARO GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4230 HAMPTON ST, ELMHURST, NY 11373-2664
(929) 369-8106
Mailing address
4230 HAMPTON ST APT 508, ELMHURST, NY 11373-2611
(929) 369-8106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
NY
Enumeration date
11/29/2023
Last updated
11/29/2023
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