Christine McQuillen, PA
Individual provider Active NPI Medical Physician Assistant · Lloyd Harbor, NY
NPI 1730430752 · NPPES record last updated Oct 1, 2012
Key facts
- NPI
- 1730430752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 007387 (NY)
- Practice address
- 31 Oakwood Dr
Lloyd Harbor, NY 11743-9748 - Phone
- (631) 807-1901
- Fax
- (631) 470-1336
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007387 | NY | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 007387 | NY | Yes |
Addresses
Primary practice location
31 Oakwood Dr
Lloyd Harbor, NY 11743-9748
Mailing address
31 Oakwood Dr
Lloyd Harbor, NY 11743-9748
Phone (631) 807-1901
Other providers in Lloyd Harbor, NY
- Huntington Management Group
- Jacqueline Iversen
- Judith Ann Judge-Avallone
- Caitlin Kelly
- Tiffany Ledgister
- Jaime Meyer
- Donna O'Beirne
- Holland Grace O'Hara
- Paris Michele Pappas
- Shanna Richey
All providers in Lloyd Harbor, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.