MEDICARE: DR. HELEN VERONICA QUINONES PH.D.

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	103T00000X	Psychologist	010989	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14490	OTHER	NY	VALUE OPTIONS INSURANCE
2	227890	OTHER	NY	MHN INSURANCE

General Provider Information

NPI Number	:	1467585109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN VERONICA QUINONES PH.D.

Provider Business Mailing Address
First Line	:	3640 JOHNSON AVE
Second Line	:	APT. 6G
City	:	BRONX
State	:	NY
Zip	:	10463-1617
Country	:	US
Telephone Number	:	718-796-1603
Fax Number	:	718-548-2763

Provider Business Practice Location Address
First Line	:	3600 FIELDSTON RD
Second Line	:	SUITE 3D
City	:	BRONX
State	:	NY
Zip	:	10463-2004
Country	:	US
Telephone Number	:	718-796-1603
Fax Number	:

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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