Guillaume, A Jacques

Guillaume, A Jacques is an sole proprietor health care provider with primary practice located at 22767 114Th Ave , Cambria Heights NY 11411-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Guillaume, A Jacques can be contacted via phone (718) 613-4080.

Contact Information

Primary practice address
22767 114Th Ave Cambria Heights NY 11411-1303
Phone: (718) 613-4080
Fax: (718) 613-4257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 128962 New York

Profile Details

NPI number 1366473241
LBN Legal business name Guillaume, A Jacques
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366473241 NPPES
New York MEDICAID 00641378

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