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Individual

DR. RICHARD MICHAEL GUERTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
100 N LAKE DR, APT #45, ORCHARD PARK, NY 14127
(716) 397-7146
(585) 380-9026
Mailing address
60 SCHOOL ST UNIT 1167, ORCHARD PARK, NY 14127-7051
(716) 397-7146

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
365930-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
364930-1
NYS DEPT OF EDUCATION
NY
Enumeration date
10/19/2021
Last updated
10/19/2021
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