Individual
STANLEY GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
525 E 68TH ST # F-1600, NEW YORK, NY 10065-4870
(212) 746-1500
(212) 746-8303
Mailing address
525 E 68TH ST # F-1600, NEW YORK, NY 10065-4870
(212) 746-1500
(212) 746-8303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
125.073453
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
314992
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2015
Last updated
10/25/2023
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