Individual
ALFRED MICHAEL QUIOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LI PREMIER PHYSICAL AND AQUATIC THERAPY, 155 W SUNRISE HIGHWAY, LINDENHURST, NY 11757
(631) 991-3311
(631) 991-3309
Mailing address
LI PREMIER PHYSICAL AND AQUATIC THERAPY, 155 W SUNRISE HIGHWAY, LINDENHURST, NY 11757
(631) 991-3311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031704-1
NY
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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