Individual
LOUIS P GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA
Contact information
Practice address
7035 113TH ST, FOREST HILLS, NY 11375-4651
(718) 990-4100
(718) 990-4624
Mailing address
7035 113TH ST, FOREST HILLS, NY 11375-4651
(718) 990-4100
(718) 990-4624
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000141
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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