Individual
MICHAEL QUERIJERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 342-3622
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007546
NY
Other
Enumeration date
02/09/2007
Last updated
03/23/2021
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