Provider Demographics
NPI:1477923589
Name:GUERRINO DENTISTRY OF HARTSDALE, PC
Entity Type:Organization
Organization Name:GUERRINO DENTISTRY OF HARTSDALE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUERRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-420-7083
Mailing Address - Street 1:227 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1803
Mailing Address - Country:US
Mailing Address - Phone:914-358-5700
Mailing Address - Fax:914-428-4152
Practice Address - Street 1:227 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1803
Practice Address - Country:US
Practice Address - Phone:914-358-5700
Practice Address - Fax:914-428-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040460122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty