Organization
EDGARD QUINONES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARD QUINONES (PRESIDENT)
(845) 778-0423
Entity
Organization
Contact information
Practice address
122 E MAIN ST, WALDEN, NY 12586-1554
(845) 778-0423
Mailing address
122 E MAIN ST, WALDEN, NY 12586-1554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978501
—
NY
Enumeration date
01/19/2012
Last updated
01/19/2012
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