PAUL DEQUILLFELDT

MASSAPEQUA, NY
NPI1245782234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  67-003215)
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
-- PAUL DEQUILLFELDT ATC
5700 MERRICK RD
MASSAPEQUA, NY 11758
Phone number: 516-798-9605
Mailing Address
-- PAUL DEQUILLFELDT ATC
5700 MERRICK RD
MASSAPEQUA, NY 11758
Phone number: 516-798-9605