Provider Demographics
NPI:1245562867
Name:GUERRIERA, LUISA (PA)
Entity Type:Individual
Prefix:MRS
First Name:LUISA
Middle Name:
Last Name:GUERRIERA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:3245 NOSTRAND AVENUE
Practice Address - Street 2:ADVANTAGECARE PHYSICIANS, PC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:718-615-3777
Practice Address - Fax:718-615-3717
Is Sole Proprietor?:No
Enumeration Date:2010-02-06
Last Update Date:2019-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY012305-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical