Individual
JAIME QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD COUNTRY RD STE 103N, WESTBURY, NY 11590-5119
(833) 350-8255
Mailing address
1400 OLD COUNTRY RD STE 103N, WESTBURY, NY 11590-5119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
339713
NY
Other
Enumeration date
06/11/2021
Last updated
10/02/2025
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