Alfred Michael Quiocho

NPI #1912540758 in Lindenhurst, New York

Provider Information

NPI Number: 1912540758
Entity Type: Individual
Name: Alfred Michael Quiocho
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 24, 2019
Last Updated: Oct 24, 2019

Practice Location

Address: LI PREMIER PHYSICAL AND AQUATIC THERAPY
Address 2: 155 W SUNRISE HIGHWAY
City: Lindenhurst
State: New York
ZIP Code: 11757
Phone: (631) 991-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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