MEDICARE: CHRISTIAN DAVE QUINDOYOS LABESORES

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
1	225100000X	Physical Therapist	052333	NY

General Provider Information

NPI Number	:	1922966233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN DAVE QUINDOYOS LABESORES

Provider Business Mailing Address
First Line	:	9430 54TH AVE
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9430 54TH AVE
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4614
Country	:	US
Telephone Number	:	929-400-3281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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