Doctor Name: | HOLLY QUINN |
NPI Number: | 1366828568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F339848-1 |
Business Practice Address: | 16 Watermill Way Ridge, NY - 119611721 |
Business Phone Number: | 6315941228 |
Business Fax Number: | |
Mailing Address: | 16 Watermill Way, RIDGE |
State: | NY |
Postal Code: | 119611721 |
Phone Number: | 6315941228 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F339848-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |