Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 141759 | NY |
NPI | 1639125685 |
---|---|
Provider Name | Dr. Maria Theresa J Quilop |
First Address | Tarrytown, NY 10591-5113 |
Second Address | Bronx, NY 10461-2728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B10745 | (02) | NY |