Individual
EZEL LALUCES QUILAPIO
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
18-20 N 9TH ST APT 2A, BELLEVILLE, NJ 07109-4131
(201) 805-8835
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
747824
NY
Other
Enumeration date
01/22/2024
Last updated
02/12/2024
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