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NPI Code Detail

MEDICARE: JEANNE LOUISE ESTREBA QUILLD P.T.

MEDICARE:   JEANNE LOUISE ESTREBA QUILLD  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist053251NY

General Provider Information

NPI Number : 1053124701
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE LOUISE ESTREBA QUILLD P.T.
Provider Business Mailing Address
First Line : 8846 54TH AVENUE
Second Line :
City : ELMHURST
State : NY
Zip : 11373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8046 KEW GARDENS RD, KEW GARDENS
Second Line :
City : QUEENS
State : NY
Zip : 11415
Country : US
Telephone Number : 718-261-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 04/10/2026

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Directions to “ JEANNE LOUISE ESTREBA QUILLD P.T.” Practice Location

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