License holder summary

FONTANILLA MANUEL GUZMAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FONTANILLA MANUEL GUZMAN is SEVERNA PARK MD. This doctor license is not current. The license was granted 11/17/1969.

New York

Office of the Professions

FONTANILLA MANUEL GUZMAN
Medicine (Physician, Including M Ds & D Os)
License number
105171
Date granted
11/17/1969
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
SEVERNA PARK MD
nymedicine.org
ID 30141913
LAST UPDATED 2024-02-15 10:17:23 UTC

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