Provider Demographics
NPI:1710039284
Name:GUFFEY, WINTER MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:WINTER
Middle Name:MICHELLE
Last Name:GUFFEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 TROY RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-1348
Mailing Address - Country:US
Mailing Address - Phone:518-477-6330
Mailing Address - Fax:518-477-5085
Practice Address - Street 1:91 TROY RD
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-1348
Practice Address - Country:US
Practice Address - Phone:518-477-6330
Practice Address - Fax:518-477-5085
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011349-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY208680189-02OtherPALLADIAN
NY714544OtherUHC
NY7981933OtherAETNA
NY6010647OtherMVP
NY10130289OtherCDPHP
NY1099624OtherASH
NY1099624OtherASH