Provider Demographics
NPI:1417906629
Name:GUILE, ALISON J (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:J
Last Name:GUILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 HAMMOND LN
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2000
Mailing Address - Country:US
Mailing Address - Phone:518-561-1322
Mailing Address - Fax:518-561-3420
Practice Address - Street 1:23 HAMMOND LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2000
Practice Address - Country:US
Practice Address - Phone:518-561-1322
Practice Address - Fax:518-561-3420
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01559333Medicaid
F31913Medicare UPIN
NY55796FMedicare ID - Type Unspecified