Individual
AILEEN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(914) 610-9695
Mailing address
328 WILLIS AVE, HAWTHORNE, NY 10532-1921
(914) 610-9695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
647300
NY
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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