Individual
JOHN T QUEENAN JR.
Active
Individual
JOHN T QUEENAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
218840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104745
—
NY
01
—
4935069
AETNA
NY
01
—
MDF691
PREFERRED CARE
NY
01
—
P010218840
BLUE CHOICE
NY
Enumeration date
07/11/2006
Last updated
07/05/2023
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