Provider Demographics
NPI:1508287012
Name:GUINTO, JOAN V (CRNA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:V
Last Name:GUINTO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BURLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1827
Mailing Address - Country:US
Mailing Address - Phone:518-894-1567
Mailing Address - Fax:
Practice Address - Street 1:BERKSHIRE HEALTH SYSTEMS 725 NORTH STREET
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-447-2555
Practice Address - Fax:413-447-2889
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA572965367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered