Individual
CARLOS A QUISPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(914) 965-1109
(914) 965-9705
Mailing address
14 NAUTILUS PL, NEW ROCHELLE, NY 10805-1310
(914) 965-1109
(914) 965-9705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
015831
NY
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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