Provider Demographics
NPI:1225631559
Name:GUARINI, CINDY D
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:D
Last Name:GUARINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-5003
Mailing Address - Country:US
Mailing Address - Phone:201-994-6594
Mailing Address - Fax:201-471-2005
Practice Address - Street 1:150 PULASKI ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5003
Practice Address - Country:US
Practice Address - Phone:201-994-6594
Practice Address - Fax:201-471-2005
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31D2200586156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist