SHANIQUE OMEALLY-SOTO

ASTORIA, NY
NPI1912699877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  F310558-01)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
SHANIQUE OMEALLY-SOTO NP
25-10 30TH AVE
ASTORIA, NY 11102-2448
Phone number: 718-932-1000
Mailing Address
SHANIQUE OMEALLY-SOTO NP
3470 FORT INDEPENDENCE ST APT 5D
BRONX, NY 10463-4593
Phone number: 917-470-4678