Individual
CHRISTINE MCQUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
31 OAKWOOD DR, LLOYD HARBOR, NY 11743-9748
(631) 807-1901
(631) 470-1336
Mailing address
31 OAKWOOD DR, LLOYD HARBOR, NY 11743-9748
(631) 807-1901
(631) 470-1336
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007387
NY
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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