Individual
JENNIFER NICOLE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 DIXON AVE, AMITYVILLE, NY 11701-2994
(631) 691-5100
Mailing address
201 DIXON AVE, AMITYVILLE, NY 11701-2994
(631) 691-5100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P134505
NY
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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