Individual
MR. PETER NICHOLAS QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
86 LEXINGTON AVE, STATEN ISLAND, NY 10302-2023
(718) 510-4064
Mailing address
86 LEXINGTON AVE, STATEN ISLAND, NY 10302-2023
(718) 510-4064
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
598582
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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