Healthcare Provider Details

I. General information

NPI: 1376470260
Provider Name (Legal Business Name): AIMEE GERNICE QUIZHPI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 150TH ST
FLUSHING NY
11357-1748
US

IV. Provider business mailing address

909 123RD ST
COLLEGE POINT NY
11356-1744
US

V. Phone/Fax

Practice location:
  • Phone: 718-747-0136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number01169601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: