Individual
JOHN PAUL QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2310 BALE ST STE 100, RALEIGH, NC 27608-1795
(919) 364-4000
(919) 746-9229
Mailing address
301 MANCHESTER RD, SUITE101, POUGHKEEPSIE, NY 12603-2586
(845) 454-4137
(845) 454-6457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0269451
NY
225100000X
Physical Therapist
Primary
P17475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10107038
CDPHP
NY
01
—
116413
GHI
NY
01
—
406936
WELLCARE
NY
01
—
692546
EMPIRE MPN
NY
01
—
796654
MVP
NY
Enumeration date
12/16/2005
Last updated
10/10/2022
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