Individual
MR. ALLEN QUILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
2195 ANDREWS AVE, BRONX, NY 10453-1303
(718) 563-0899
Mailing address
2195 ANDREWS AVE, BRONX, NY 10453-1303
(718) 563-0899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004602-1
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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