| Doctor Name: | MRS. MARIE OQUENDO-MILLER |
| NPI Number: | 1023015856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSNP |
| License Number: | 255406 |
| Business Practice Address: | 1 Stadium Road Stony Brook, NY - 117940001 |
| Business Phone Number: | 6316326738 |
| Business Fax Number: | 6316326936 |
| Mailing Address: | 50 Sequoia Dr, CORAM |
| State: | NY |
| Postal Code: | 117272039 |
| Phone Number: | 6314740263 |
| Fax Number: | 6314742329 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 255406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |