Individual
MR. GARRY ELIE LAQUINTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 RIVINGTON ST, NEW YORK, NY 10002-1304
(212) 539-6460
Mailing address
481 E 52ND ST, APT 2, BROOKLYN, NY 11203-4524
(718) 922-1444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010988
NY
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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