Individual
MARY GUILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
312 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-3000
Mailing address
312 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
300454
NY
Other
Enumeration date
06/07/2011
Last updated
05/27/2021
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