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Individual

DR. ALAIN A. LE GUILLOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2039 PALMER AVE, SUITE 203, LARCHMONT, NY 10538-2483
(914) 834-1590
(914) 315-6225
Mailing address
2039 PALMER AVE, SUITE 203, LARCHMONT, NY 10538-2483
(914) 834-1590
(914) 315-6225

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199443
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
199443
NY STATE LICENSE
NY
Enumeration date
02/03/2007
Last updated
03/07/2023
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