Individual
ALEXANDRA GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4064
(631) 444-5220
(631) 444-5225
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
100756
WI
207RG0100X
Gastroenterology Physician
Primary
254256
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241776
—
WI
Enumeration date
12/29/2008
Last updated
06/30/2023
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