Individual
COLLEEN QUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
64 BANCROFT AVE, STATEN ISLAND, NY 10306-2448
(718) 619-2355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021034
NY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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