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Individual

BRITTANY QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
315 S MANNING BLVD, 7 CUSACK, ALBANY, NY 12208-1707
(515) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659559
NY
363L00000X
Nurse Practitioner
Primary
341789
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04842288
NY
Enumeration date
03/09/2017
Last updated
06/09/2021
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