Quezada, Oscar R

Quezada, Oscar R is an individual health care provider with primary practice located at 31 Main Rd , Riverhead NY 11901-1953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Quezada, Oscar R can be contacted via phone (361) 727-4950.

Contact Information

Primary practice address
31 Main Rd Riverhead NY 11901-1953
Phone: (361) 727-4950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 273139 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K7471 Texas

Profile Details

NPI number 1770670945
LBN Legal business name Quezada, Oscar R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770670945 NPPES
Texas MEDICAID 1459521-04
Texas MEDICAID 03872997
Texas MEDICAID 1459521-05
Texas Other 273139

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