Individual
CHIARA QUARESIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
651 OLD COUNTRY ROAD, PLAINVIEW, NY 11803
(516) 681-8822
Mailing address
294 ACRE LANE, HICKSVILLE, NY 11801
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013185
NY
Other
Enumeration date
05/21/2009
Last updated
09/20/2012
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