Individual
ANGELA INDIANA QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
9305 168TH ST, JAMAICA, NY 11433-1234
(347) 779-7479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
496569
NY
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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