Individual
MICHAEL QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
Mailing address
16410 65TH AVE, FRESH MEADOWS, NY 11365-1847
(917) 892-0680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12483
NY
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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