# KAMI QUINN MEDICAL DOCTOR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265610166
- **Authorized official:** DR. KAMI QUINN BARRY D.O. (OWNER FAMILY PRACTICE PHYSICIAN)
- **Authorized official phone:** (631) 569-4055

## Contact information

- **Practice address:** 76 SOUTHAVEN AVE, SUITE 4, MEDFORD, NY 11763-3745
- **Practice address phone:** (631) 569-4055
- **Practice address fax:** (631) 569-4056
- **Mailing address:** 76 SOUTHAVEN AVE, SUITE 4, MEDFORD, NY 11763-3745
- **Mailing address phone:** (631) 569-4055
- **Mailing address fax:** (631) 569-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 222984 | NY | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/06/2008