Provider Demographics
NPI:1174635338
Name:GUERRA, CLAUDE DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:DAVID
Last Name:GUERRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205
Mailing Address - Country:US
Mailing Address - Phone:518-869-7993
Mailing Address - Fax:518-869-3200
Practice Address - Street 1:2016 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-869-7993
Practice Address - Fax:518-869-3200
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1144367905OtherPROFF CORP NPI
NYC077372OtherWC
NYBA1004OtherPROF CORP MEDICARE ID#
NY1144367905OtherPROFF CORP NPI
U52538Medicare UPIN