Provider Demographics
NPI:1528217726
Name:GUERRIER, SARADJAH
Entity Type:Individual
Prefix:
First Name:SARADJAH
Middle Name:
Last Name:GUERRIER
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 1:377 MONTGOMERY ST
Mailing Address - Street 2:APT E11
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2864
Mailing Address - Country:US
Mailing Address - Phone:718-844-7619
Mailing Address - Fax:
Practice Address - Street 1:377 MONTGOMERY ST
Practice Address - Street 2:APT E11
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2864
Practice Address - Country:US
Practice Address - Phone:718-844-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292234164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse