Provider Demographics
NPI:1548146814
Name:GUERRERO, MARINA E (RD)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:E
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-2123
Mailing Address - Country:US
Mailing Address - Phone:631-552-8820
Mailing Address - Fax:
Practice Address - Street 1:198 LOCUST DR
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-2123
Practice Address - Country:US
Practice Address - Phone:631-552-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered