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NPI Code Detail

MEDICARE: JOHN PAUL QUINN PT, DPT

MEDICARE: JOHN PAUL QUINN PT, DPT
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
1225100000XPhysical Therapist0269451NY
2225100000XPhysical TherapistP17475NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110107038OTHERNYCDPHP
2796654OTHERNYMVP
3406936OTHERNYWELLCARE
4116413OTHERNYGHI
5692546OTHERNYEMPIRE MPN

General Provider Information

NPI Number : 1528044013
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL QUINN PT, DPT
Provider Business Mailing Address
First Line : 301 MANCHESTER RD
Second Line : SUITE101
City : POUGHKEEPSIE
State : NY
Zip : 12603-2586
Country : US
Telephone Number : 845-454-4137
Fax Number : 845-454-6457
Provider Business Practice Location Address
First Line : 2310 BALE ST STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1795
Country : US
Telephone Number : 919-364-4000
Fax Number : 919-746-9229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 10/10/2022

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