Doctor Name: | MRS. CHRISTINE SERGIO QUINLAN |
NPI Number: | 1023297983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F335371 |
Business Practice Address: | 255 Lafayette Ave Suffern, NY - 109014812 |
Business Phone Number: | 8453685029 |
Business Fax Number: | |
Mailing Address: | 255 Lafayette Ave, SUFFERN |
State: | NY |
Postal Code: | 109014812 |
Phone Number: | 8453685029 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F335371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |