Provider Demographics
NPI:1952801003
Name:GUTHRIE, TAMIKO
Entity Type:Individual
Prefix:
First Name:TAMIKO
Middle Name:
Last Name:GUTHRIE
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:EMBLEM HEALTH 55 WATER STREET
Mailing Address - Street 2:4TH FLOOR / 04C11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EMBLEM HEALTH 55 WATER STREET
Practice Address - Street 2:4TH FLOOR / 04C11
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10041
Practice Address - Country:US
Practice Address - Phone:347-501-1452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator