Provider Demographics
NPI:1114487592
Name:GUIDA, ERIN JUNE (MS, ATC, NREMT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:JUNE
Last Name:GUIDA
Suffix:
Gender:F
Credentials:MS, ATC, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:10928-1515
Mailing Address - Country:US
Mailing Address - Phone:908-399-3613
Mailing Address - Fax:
Practice Address - Street 1:A-2530 TAYLOR STREET
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-1510
Practice Address - Country:US
Practice Address - Phone:908-399-3613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2255A2300X
NY003608-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer