Provider Demographics
NPI:1265906119
Name:GUARIGLIA, JUDY (FNP)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:GUARIGLIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:GUARIGLIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:13 BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5100
Mailing Address - Country:US
Mailing Address - Phone:914-882-6747
Mailing Address - Fax:
Practice Address - Street 1:13 BIRCH CT
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5100
Practice Address - Country:US
Practice Address - Phone:914-882-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-434878-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily