Organization
KAMI QUINN MEDICAL DOCTOR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMI QUINN BARRY D.O. (OWNER FAMILY PRACTICE PHYSICIAN)
(631) 569-4055
Entity
Organization
Contact information
Practice address
76 SOUTHAVEN AVE, SUITE 4, MEDFORD, NY 11763-3745
(631) 569-4055
(631) 569-4056
Mailing address
76 SOUTHAVEN AVE, SUITE 4, MEDFORD, NY 11763-3745
(631) 569-4055
(631) 569-4056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114936317
INDIVIDUAL NPI NUMBER
NY
Enumeration date
02/04/2008
Last updated
02/06/2008
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