Individual
DR. TIMOTHY RALPH QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, O.D.
Contact information
Practice address
240 LUCAS AVE, KINGSTON, NY 12401-4316
(845) 339-4990
(845) 339-5001
Mailing address
72 PINE ST, KINGSTON, NY 12401-4938
(845) 338-1964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0069521
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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