MEDICARE: ANGELINE QUINONES NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	338646	NY
2	363L00000X	Nurse Practitioner	APRN9457950	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447678347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINE QUINONES NP

Provider Business Mailing Address
First Line	:	5 FLOWER ST
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-7506
Country	:	US
Telephone Number	:	917-547-9898
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 FLOWER ST
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-7506
Country	:	US
Telephone Number	:	917-547-9898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	12/07/2020

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