Provider Demographics
NPI:1235918848
Name:GUARAGNA, MARIA (CCMA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:GUARAGNA
Suffix:
Gender:F
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NEPTUNE RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5500
Mailing Address - Country:US
Mailing Address - Phone:914-227-1815
Mailing Address - Fax:845-519-1494
Practice Address - Street 1:3 NEPTUNE RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5500
Practice Address - Country:US
Practice Address - Phone:914-227-1815
Practice Address - Fax:845-519-1494
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter