Individual
KELVIN QUINONES-LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 754-4838
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 754-4838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
307551
NY
Other
Enumeration date
07/24/2017
Last updated
12/01/2021
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