Provider Demographics
NPI:1679541270
Name:GUERRIERO, JOHN ANTONIO (PT)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTONIO
Last Name:GUERRIERO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:70 DUBOIS STREET
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-568-2395
Mailing Address - Fax:845-568-2946
Practice Address - Street 1:17 OLD MAIN STREET
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524
Practice Address - Country:US
Practice Address - Phone:845-898-6978
Practice Address - Fax:845-896-2130
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0163361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP15761Medicare UPIN