| Dr. Lawrence Guerra, Psychologist, Pc | |
|
185 South St Suite 100 Oyster Bay NY 11771-2254 | |
| (516) 628-0932 | |
| (516) 802-0285 |
| Full Name | Dr. Lawrence Guerra, Psychologist, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 185 South St, Oyster Bay, New York |
| Authorized Official Name and Position | Lawrence Guerra (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5166280932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lawrence Guerra, Psychologist, Pc 185 South St Suite 100 Oyster Bay NY 11771-2254 Ph: (516) 628-0932 | Dr. Lawrence Guerra, Psychologist, Pc 185 South St Suite 100 Oyster Bay NY 11771-2254 Ph: (516) 628-0932 |
| NPI Number | 1659657054 |
|---|---|
| Provider Enumeration Date | 10/29/2011 |
| Last Update Date | 10/29/2011 |
| Medicare PECOS PAC ID | 5496920415 |
|---|---|
| Medicare Enrollment ID | O20111202000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659657054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012231 (New York) | Primary |
| Provider Name | Lawrence Joseph Guerra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518080878 PECOS PAC ID: 6507031549 Enrollment ID: I20111202000562 |
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