Provider Demographics
NPI:1225408446
Name:GUERRINO DENTISTRY OF ARMONK, PC
Entity type:Organization
Organization Name:GUERRINO DENTISTRY OF ARMONK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUERRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-420-7083
Mailing Address - Street 1:1 BYRAM BROOK PL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2316
Mailing Address - Country:US
Mailing Address - Phone:914-765-0093
Mailing Address - Fax:914-765-0215
Practice Address - Street 1:1 BYRAM BROOK PL
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2316
Practice Address - Country:US
Practice Address - Phone:914-765-0093
Practice Address - Fax:914-765-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040460122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty