Individual
DR. XIN QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE STE 3040N, HAWTHORNE, NY 10532
(914) 285-3480
(914) 285-3479
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
220271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02159199
—
NY
01
—
201823497
POMCO
NY
01
—
2465872
UNITED HEALTH CARE
NY
01
—
7117637
AETNA
NY
Enumeration date
07/01/2005
Last updated
12/10/2021
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