Katrina Guglielmo RPA-C

NPI 1790909547 - Family Medicine - 207Q00000X

NPI Details
NPI 1790909547
Gender Female
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1647 ROUTE 112
MEDFORD NY, 11763-3635, US
Phone (631) 758-2220
Fax (631) 758-8355
Business Location
1647 ROUTE 112
MEDFORD NY, 11763-3635, US
Phone (631) 758-2220
Fax (631) 758-8355
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 005502
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According to our database, Katrina Guglielmo RPA-C NPI is 1790909547, taxonomy code is 207Q00000X and license number is 005502, license state is located at New York. Katrina Guglielmo RPA-C physically located at 1647 Route 112, Medford NY, 11763-3635. NPI Number Katrina Guglielmo RPA-C has the Individual type.

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1790909547 NPI number is provided on an as is basis without warranty of any kind. 1790909547 is maintained by the National Plan & Provider Enumeration System. The contents of Katrina Guglielmo RPA-C are for informational purposes only.