Provider Demographics
NPI:1164848891
Name:GUILE, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:GUILE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 REMINGTON PARK
Mailing Address - Street 2:APT A5
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-1353
Mailing Address - Country:US
Mailing Address - Phone:315-219-3767
Mailing Address - Fax:
Practice Address - Street 1:1 REMINGTON PARK
Practice Address - Street 2:APT A5
Practice Address - City:ILION
Practice Address - State:NY
Practice Address - Zip Code:13357-1353
Practice Address - Country:US
Practice Address - Phone:315-219-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297783-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse