Provider Demographics
NPI:1972349470
Name:GUERRIERO, DOROTHY (TEACHER)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:GUERRIERO
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HART BLVD APT 1G
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3447
Mailing Address - Country:US
Mailing Address - Phone:347-351-1512
Mailing Address - Fax:
Practice Address - Street 1:200 HART BLVD APT 1G
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3447
Practice Address - Country:US
Practice Address - Phone:347-351-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213829174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty