Healthcare Provider Details

I. General information

NPI: 1801299052
Provider Name (Legal Business Name): MS. JULIANA QUANSAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 WEBSTER AVE FL 2
BRONX NY
10458-4270
US

IV. Provider business mailing address

41 LIVINGSTON AVE
YONKERS NY
10705-1914
US

V. Phone/Fax

Practice location:
  • Phone: 718-300-9045
  • Fax: 718-881-2205
Mailing address:
  • Phone: 718-881-2200
  • Fax: 718-881-2205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number494145-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number494145-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number494145-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: