Individual
JACQUELINE ILIANA QUIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
120 PLANT AVE, HAUPPAUGE, NY 11788-3805
(631) 273-1300
(631) 273-4342
Mailing address
122 MAKAMAH RD, NORTHPORT, NY 11768-1337
(631) 754-6017
(631) 273-4342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004491-1
NY
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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