Guillaume, Alexandra
Guillaume, Alexandra is an individual health care provider with primary practice located at 3 Technology Dr , East Setauket NY 11733-4064. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Guillaume, Alexandra can be contacted via phone (631) 444-5220.Contact Information
Primary practice address
3 Technology Dr
East Setauket NY 11733-4064
Phone: (631) 444-5220
Fax: (631) 444-5225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 254256 | New York |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 100756 | Wisconsin |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1396981197 |
---|---|
LBN Legal business name | Guillaume, Alexandra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2008 |
Last updated | Jun 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396981197 | NPPES |
Wisconsin | MEDICAID | 100241776 |
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