Provider Demographics
NPI:1972865566
Name:GUERCIO, ANNABELLE MARIE (BS SPED MS SPA)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:MARIE
Last Name:GUERCIO
Suffix:
Gender:F
Credentials:BS SPED MS SPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 BAUMAN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2725
Mailing Address - Country:US
Mailing Address - Phone:716-998-8402
Mailing Address - Fax:
Practice Address - Street 1:541 BAUMAN RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2725
Practice Address - Country:US
Practice Address - Phone:716-998-8402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist