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Individual

GUILLERMO ESCAMILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
224 E MAIN ST, SUITE C, PATCHOGUE, NY 11772-3124
(631) 475-0211
(631) 475-8277
Mailing address
45 SNEDECOR AVE, BAYPORT, NY 11705-1716
(631) 475-0211
(631) 475-8277

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006481-1
NY

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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