Individual provider · Type 1 NPI

Odon Martin Guillermo, DO

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1679746010 Active

Practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Mailing address

PO Box 745
Uniondale, NY 11553-0745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679746010

Odon Martin Guillermo, DO's National Provider Identifier is 1679746010, issued on Apr 7, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Apr 7, 2008.