Healthcare Provider Details

I. General information

NPI: 1659076792
Provider Name (Legal Business Name): QUINCY TECHNOLOGIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 DUANE ST APT 20B
NEW YORK NY
10007-3606
US

IV. Provider business mailing address

105 DUANE ST APT 20B
NEW YORK NY
10007-3606
US

V. Phone/Fax

Practice location:
  • Phone: 917-685-7238
  • Fax:
Mailing address:
  • Phone: 917-685-7238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1744G0900X
TaxonomyGraphics Designer
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN MITCHELL GREENE
Title or Position: CEO
Credential:
Phone: 917-685-7239