Individual
CARLOS QUILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8908 218TH ST, QUEENS VILLAGE, NY 11427-2416
(646) 996-1938
Mailing address
8908 218TH ST, QUEENS VILLAGE, NY 11427-2416
(646) 996-1938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
604687
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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