Individual
MRS. CARMEN CRUZ QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5917 JUNCTION BLVD, ELMHURST, NY 11373-5188
(718) 404-9109
(718) 334-6277
Mailing address
8525 67TH AVE, REGO PARK, NY 11374-5213
(646) 261-9150
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
461073
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382548
NY
Other
Enumeration date
04/03/2014
Last updated
08/23/2016
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