Individual
DR. HAYLEY CR QUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253907
NY
207R00000X
Internal Medicine Physician
C1-0008458
DE
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
253907
NY
208000000X
Pediatrics Physician
C7-0002950
DE
2080S0010X
Pediatric Sports Medicine Physician
253907
NY
Other
Enumeration date
02/21/2007
Last updated
03/18/2019
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