Provider Demographics
NPI:1316392301
Name:GUERRA, ZUILYN (MSED)
Entity Type:Individual
Prefix:
First Name:ZUILYN
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 83RD ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2909
Mailing Address - Country:US
Mailing Address - Phone:718-207-9220
Mailing Address - Fax:
Practice Address - Street 1:1832 83RD ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2909
Practice Address - Country:US
Practice Address - Phone:718-207-9220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175900021171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor