Xiomara D Quezada PA

NPI 1669655502 - Physician Assistant - 363A00000X

NPI Details
NPI 1669655502
Gender Female
Enumeration Date 12/14/2007
Last Updated 12/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 STATE ROUTE 208
STE 13
MONROE NY, 10950-4648, US
Phone (845) 783-6266
Fax (845) 783-9570
Business Location
158 N MAIN ST
FLORIDA NY, 10921-1133, US
Phone (845) 651-1412
Fax (845) 651-1512
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 009534-1
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According to our database, Xiomara D Quezada PA NPI is 1669655502, taxonomy code is 363A00000X and license number is 009534-1, license state is located at New York. Xiomara D Quezada PA physically located at 1200 State Route 208, Monroe NY, 10950-4648. NPI Number Xiomara D Quezada PA has the Individual type.

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1669655502 NPI number is provided on an as is basis without warranty of any kind. 1669655502 is maintained by the National Plan & Provider Enumeration System. The contents of Xiomara D Quezada PA are for informational purposes only.