Individual
MANUELA QUICENO QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5910 JUNCTION BLVD, FLUSHING, NY 11373-5156
(718) 592-3200
Mailing address
5910 JUNCTION BLVD, FLUSHING, NY 11373-5156
(516) 734-1562
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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