| Doctor Name: | MS. HEATHER ELIZABETH GUINAN-CLARK |
| NPI Number: | 1043301815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, MPH, APRN, BC |
| License Number: | F320009 |
| Business Practice Address: | 606 Old Route 17 Monticello, NY - 127017013 |
| Business Phone Number: | 8457078400 |
| Business Fax Number: | 8457078915 |
| Mailing Address: | 327 Hospital Rd, CALLICOON |
| State: | NY |
| Postal Code: | 127236303 |
| Phone Number: | 8458874613 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 10/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | F320009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |