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NPI Code Detail

MEDICARE: GOVANNY FERNANDO QUINTUNA I

MEDICARE: GOVANNY FERNANDO QUINTUNA I
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
11041S0200XSchool Social WorkerNY

General Provider Information

NPI Number : 1922657014
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOVANNY FERNANDO QUINTUNA I
Provider Business Mailing Address
First Line : 402 STANHOPE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-4403
Country : US
Telephone Number : 347-697-3549
Fax Number :
Provider Business Practice Location Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 09/10/2019

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Directions to “ GOVANNY FERNANDO QUINTUNA I ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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