MS. Stacey Anne Quintanilla, M.A.

NPI #1003259573 in Middle Island, New York

Provider Information

NPI Number: 1003259573
Entity Type: Individual
Name: MS. Stacey Anne Quintanilla, M.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: M.A.
Enumeration Date: Apr 15, 2013
Last Updated: Apr 15, 2013

Practice Location

Address: 35 LONGWOOD RD
City: Middle Island
State: New York
ZIP Code: 11953-2045
Phone: (631) 924-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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