Individual
KAYLIN MARIE QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ROSELLA CT, WEST BABYLON, NY 11704-6923
(631) 338-4053
Mailing address
50 ROSELLA CT, WEST BABYLON, NY 11704-6923
(631) 338-4053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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