Healthcare Provider Details

I. General information

NPI: 1861463218
Provider Name (Legal Business Name): DR. LYNNE QUITTELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS 3959 BROADWAY
NEW YORK NY
10032
US

IV. Provider business mailing address

16 FOX DEN RD
MOUNT KISCO NY
10549-3835
US

V. Phone/Fax

Practice location:
  • Phone: 212-304-7250
  • Fax: 212-544-1974
Mailing address:
  • Phone: 914-772-3253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number149609
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: