Individual
ANGEL LOUIS QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
185 ROUTE 312, SUITE 301B, BREWSTER, NY 10509-2337
(845) 279-9288
Mailing address
62 FINI DR, CARMEL, NY 10512-4061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66-001622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66-001622
NYS LICENSE
NY
Enumeration date
09/03/2006
Last updated
07/08/2007
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