Quetell, Guillermo
Quetell, Guillermo is an sole proprietor health care provider with primary practice located at 5000 Brittonfield Pkwy Ste A125 , East Syracuse NY 13057-9230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Quetell, Guillermo can be contacted via phone (315) 802-2601.Contact Information
Primary practice address
5000 Brittonfield Pkwy Ste A125
East Syracuse NY 13057-9230
Phone: (315) 802-2601
Fax: (315) 802-6933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 188329 | New York |
Profile Details
| NPI number | 1790779825 |
|---|---|
| LBN Legal business name | Quetell, Guillermo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
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 | 1790779825 | NPPES |
| New York | MEDICAID | 02281818 |
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