Healthcare Provider Details

I. General information

NPI: 1235360843
Provider Name (Legal Business Name): JANE GUILLERMO QUILING RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 BATTERY AVE 2A
BROOKLYN NY
11209
US

IV. Provider business mailing address

118 BATTERY AVE 2A
BROOKLYN NY
11209
US

V. Phone/Fax

Practice location:
  • Phone: 347-497-4778
  • Fax: 347-497-4778
Mailing address:
  • Phone: 347-497-4778
  • Fax: 347-497-4778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number585367-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: