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Individual

DR. GUILLERMINA JACKSON-POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
193643
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01810439
NY
Enumeration date
12/01/2005
Last updated
08/05/2008
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