Individual
DR. BONIFACIO ALHAMBRA QUILO-AN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5 DIANNE CRST, HUNTINGTON STATION, NY 11746-1358
(516) 800-9335
Mailing address
5 DIANNE CRST, HUNTINGTON STATION, NY 11746-1358
(516) 800-9335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041707
NY
Other
Enumeration date
04/08/2019
Last updated
01/18/2026
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