Individual
MR. MICHAEL D QUALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4747-8 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2878
(631) 331-6455
Mailing address
4747-8 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2878
(631) 331-6455
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001010
NY
Other
Enumeration date
04/10/2007
Last updated
06/11/2015
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