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Contact Information

HAYLEY C QUELLER, MD
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY11733-4079
 Phone: 631-689-6698
 Fax: 631-751-5548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HAYLEY C QUELLER · (Female)

NPI # 1962537175
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2007
Last updated 03/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0008458
  • DE License # C7-0002950
  • NY License # 253907
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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