Organization
GLENN S QUITTELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET M WALSH (RECEPTIONIST)
(914) 834-1313
Entity
Organization
Contact information
Practice address
2001 PALMER AVE, 102, LARCHMONT, NY 10538-2468
(914) 834-1313
(914) 834-1318
Mailing address
2001 PALMER AVE, 102, LARCHMONT, NY 10538-2468
(914) 834-1313
(914) 834-1318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441480202
RAILROAD MEDICARE
NY
Enumeration date
12/14/2007
Last updated
07/01/2008
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