1982697033 NPI number — DR. PAUL NEIL GUERRIERO M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982697033 NPI number — DR. PAUL NEIL GUERRIERO M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

GUERRIERO

Provider First Name:

PAUL

Provider Middle Name:

NEIL

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1982697033

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/16/2017

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

9 CHATEAU RIDGE DR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

GREENWICH

Provider Business Mailing Address State Name:

CT

Provider Business Mailing Address Postal Code:

06831-2940

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

203-861-0708

Provider Business Mailing Address Fax Number:

203-861-6866

Provider First Line Business Practice Location Address:

99 DUTCH HILL RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ORANGEBURG

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10962-2185

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

845-359-7272

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

08/24/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207WX0107X , with the licence number:  158997 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207WX0107X , with the licence number: 031410 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207WX0107X , with the licence number: 25MA05393900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 0587629 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 158997-A40 . This is a "HEALTH FIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 17P0351 . This is a "NY PRESBYTERIAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2781534 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 411A92 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: E76859 . This is a "AMERIHEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 411A91 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P2781534 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2C6873 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 0497979 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 229561T . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4109582 . This is a "AETNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 43Z913 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 01135639 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 1229222 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 177470 . This is a "ELDER PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".