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MRS. MARIE OQUENDO-MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSNP

Contact information

Practice address
1 STADIUM ROAD, STONY BROOK, NY 11794-0001
(631) 632-6738
(631) 632-6936
Mailing address
50 SEQUOIA DR, CORAM, NY 11727-2039
(631) 474-0263
(631) 474-2329

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
255406
NY

Other

Enumeration date
07/07/2005
Last updated
07/08/2007
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