Dr. A Jacques Guillaume
Reproductive Endocrinologist
22767 114th Ave
Cambria Heights
, New York 11411-1303
Dr. A Jacques Guillaume
Reproductive Endocrinologist
22767 114th Ave
Cambria Heights
, New York 11411-1303
(718) 613-4257
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. A Jacques Guillaume
- 22767 114th Ave
- Cambria Heights, NY
- Zip : 11411-1303
- Fax : (718) 613-4257
- Phone : (718) 613-4080
Second Address
- Dr. A Jacques Guillaume
- 22767 114th Ave
- Cambria Heights, NY
- Zip : 11411-1303
- Fax : (718) 613-4257
- Phone : (718) 613-4080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 128962 | NY |
National Provider Identifier
| NPI | 1366473241 |
|---|---|
| Provider Name | Dr. A Jacques Guillaume |
| First Address | Cambria Heights, NY 11411-1303 |
| Second Address | Cambria Heights, NY 11411-1303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00641378 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.