Provider Demographics
NPI:1174767529
Name:GUEVARRA, MARIA SARAH N (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA SARAH
Middle Name:N
Last Name:GUEVARRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:59 A NICHOLS ROAD
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-2093
Mailing Address - Country:US
Mailing Address - Phone:631-656-6940
Mailing Address - Fax:631-656-6940
Practice Address - Street 1:59A NICHOLS RD
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2093
Practice Address - Country:US
Practice Address - Phone:631-656-6940
Practice Address - Fax:631-656-6940
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2429232080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology