KATHERINE ROSANGELA QUEZADA

PORT JEFFERSON, NY
NPI1952940942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  309278)
Enumeration Date2019-12-23
Last Update Date2019-12-23
Business Address
KATHERINE ROSANGELA QUEZADA
625 BELLE TERRE RD
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
Mailing Address
KATHERINE ROSANGELA QUEZADA
10 BISCAYNE DR
SELDEN, NY 11784-1011
Phone number: 631-481-5257
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