Provider Demographics
NPI:1639125685
Name:QUILOP, MARIA THERESA J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA THERESA
Middle Name:J
Last Name:QUILOP
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Gender:F
Credentials:MD
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Mailing Address - Street 1:560 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5113
Mailing Address - Country:US
Mailing Address - Phone:914-333-5877
Mailing Address - Fax:914-333-2544
Practice Address - Street 1:1200 WATERS PL
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2728
Practice Address - Country:US
Practice Address - Phone:718-863-4366
Practice Address - Fax:718-863-9743
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1417592080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB10745Medicare UPIN
NY190741Medicare ID - Type Unspecified