Individual
MRS. MARIE QUETLY CAZEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8 GREENFIELD RD, SYOSSET, NY 11791-4831
(516) 496-7900
(516) 496-2139
Mailing address
11 MANOR PL, HUNTINGTON STATION, NY 11746-1545
(516) 242-1926
(516) 496-2139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F303671
LICENSE
NY
Enumeration date
05/30/2007
Last updated
03/07/2023
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