Individual
JENNY SHABEL QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 COLONY LN, ROSLYN HEIGHTS, NY 11577-2218
(516) 621-1281
Mailing address
917 124TH ST FL 1, COLLEGE POINT, NY 11356-1823
(929) 385-9503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
02/08/2022
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