Individual
BETHZAIDA CRISANTO PALMA-AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 BRISTOL LN, KINGS PARK, NY 11754-4009
(631) 361-5006
(631) 361-5006
Mailing address
24 BRISTOL LN, KINGS PARK, NY 11754-4009
(631) 361-5006
(631) 361-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163343
NY
Other
Enumeration date
08/22/2006
Last updated
07/16/2008
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