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Individual

DR. JOSE ESCUETA QUIWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8502 66TH RD, REGO PARK, NY 11374-5212
(718) 426-5202
(718) 897-2874
Mailing address
8502 66TH RD, REGO PARK, NY 11374-5212
(718) 426-5202
(718) 897-2874

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
170227
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014346
GHI
NY
05
01021732
NY
01
113254834
CARE PLUS
NM
01
113254834
1199
NY
01
120550
UNITED HEALTHCARE(MED).
NY
01
290890101
HEALTHPLUS
NY
01
29344P
HIP
NY
01
2C7160
HEALTHNET/ACS
NY
01
3663457-001
CIGNA
NY
01
40426017707
FIDELISCARE
NY
01
4235224
AETNA
NY
01
471Z61
BC/BS
NY
01
49143
MDNY
NY
01
DP327
OXFORD
NY
Enumeration date
01/24/2006
Last updated
12/19/2011
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