Individual
SAMUEL LESTER GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 PARK AVENUE, NEW YORK, NY 10128
(212) 860-5400
Mailing address
200 E 89TH ST, APT. 35C, NEW YORK, NY 10128-4300
(212) 860-5400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
127306
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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