Individual
KYLE PATRICK MAQUILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(347) 855-9410
Mailing address
6044 59TH RD, MASPETH, NY 11378-3204
(347) 855-9410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014899-01
NY
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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