Healthcare Provider Details

I. General information

NPI: 1447678347
Provider Name (Legal Business Name): ANGELINE QUINONES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FLOWER ST
NEW ROCHELLE NY
10801-7506
US

IV. Provider business mailing address

5 FLOWER ST
NEW ROCHELLE NY
10801-7506
US

V. Phone/Fax

Practice location:
  • Phone: 917-547-9898
  • Fax:
Mailing address:
  • Phone: 917-547-9898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9457950
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number338646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: