Provider Demographics
NPI:1982697033
Name:GUERRIERO, PAUL NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:NEIL
Last Name:GUERRIERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHATEAU RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-2940
Mailing Address - Country:US
Mailing Address - Phone:203-861-0708
Mailing Address - Fax:203-861-6866
Practice Address - Street 1:99 DUTCH HILL RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2185
Practice Address - Country:US
Practice Address - Phone:845-359-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2017-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158997207WX0107X
CT031410207WX0107X
NJ25MA05393900207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0587629OtherCIGNA
NY158997-A40OtherHEALTH FIRST
NY17P0351OtherNY PRESBYTERIAN
NY2781534OtherOXFORD
NY411A92OtherBCBS
NYE76859OtherAMERIHEALTH
NY411A91OtherBCBS
NYP2781534OtherOXFORD
NY2C6873OtherHEALTHNET
NY0497979OtherGHI
NY229561TOtherHIP
NY4109582OtherAETNA PPO
NY43Z913OtherBCBS
NY01135639Medicaid
NY1229222OtherAETNA HMO
NY177470OtherELDER PLAN
NY01135639Medicaid
NY23F953Medicare PIN
NY177470OtherELDER PLAN
NY17P0351OtherNY PRESBYTERIAN
NYP00123748Medicare PIN
NY0497979OtherGHI
NY229561TOtherHIP