Individual
DR. EDGARD QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 EAST MAIN ST, WALDEN, NY 12586
(845) 778-0423
(845) 778-0427
Mailing address
PO BOX 128, MONTGOMERY, NY 12549
(845) 778-0423
(845) 778-0427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167727
NY
207RN0300X
Nephrology Physician
167727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978501
—
NY
Enumeration date
11/17/2006
Last updated
01/19/2012
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