Healthcare Provider Details

I. General information

NPI: 1205923059
Provider Name (Legal Business Name): FRANCES W QUEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 E 142ND STREET
BRONX NY
10454
US

IV. Provider business mailing address

1144 WINDSOR ROAD
TEANECK NJ
07666
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-1811
  • Fax: 718-579-1823
Mailing address:
  • Phone: 201-966-6977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number205579
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: