Provider Demographics
NPI:1265676878
Name:SAINT-JEAN, GUENIDE
Entity Type:Individual
Prefix:
First Name:GUENIDE
Middle Name:
Last Name:SAINT-JEAN
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 1:46A 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2220
Mailing Address - Country:US
Mailing Address - Phone:631-423-3710
Mailing Address - Fax:
Practice Address - Street 1:46A 9TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2220
Practice Address - Country:US
Practice Address - Phone:631-423-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275394-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse