Basic Information
| Provider Information | |||||||||
| NPI: | 1699866194 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUASTINI-BROWN | ||||||||
| FirstName: | NADIA | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | NNP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | BROWN | ||||||||
| OtherFirstName: | NADIA | ||||||||
| OtherMiddleName: | G. | ||||||||
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| OtherCredential: | NNP | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 52 PAMELA RD | ||||||||
| Address2: | |||||||||
| City: | CORTLANDT MANOR | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105677118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147342484 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 95 GRASSLANDS RD | ||||||||
| Address2: | MARIA FARERI CHILDREN'S HOSPITAL RNICU 2ND FLOOR | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951646 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937000 | ||||||||
| FaxNumber: | 9144935049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LN0000X | 350197 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
No ID Information.