Provider Demographics
NPI:1306659784
Name:GUYAH, KERRYANN
Entity type:Individual
Prefix:
First Name:KERRYANN
Middle Name:
Last Name:GUYAH
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 1:244 5TH AVENUE
Mailing Address - Street 2:SUITE K236
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:518-606-2298
Mailing Address - Fax:
Practice Address - Street 1:244 5TH AVENUE
Practice Address - Street 2:SUITE K236
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:518-606-2298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1770915274OtherNATIONAL REGISTRY