Provider Demographics
NPI:1144367905
Name:CLAUDE D. GUERRA DC,PC
Entity type:Organization
Organization Name:CLAUDE D. GUERRA DC,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-869-7993
Mailing Address - Street 1:2016 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4502
Mailing Address - Country:US
Mailing Address - Phone:518-869-7993
Mailing Address - Fax:518-869-3200
Practice Address - Street 1:2016 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4502
Practice Address - Country:US
Practice Address - Phone:518-869-7993
Practice Address - Fax:518-869-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1174635338OtherNPI
NY1174635338OtherNPI
NYBA1004Medicare ID - Type UnspecifiedPROF CORP MEDICARE ID
NY1174635338OtherNPI