Healthcare Provider Details

I. General information

NPI: 1851770085
Provider Name (Legal Business Name): QUINETA MCGINNIS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LEXINGTON CENTER FOR RECOVERY 41 PAGE PARK DRIVE SUITE 200
POUGHKEEPSIE NY
12603
US

IV. Provider business mailing address

1 DELRAY CIRCLE
POUGHKEEPSIE NY
12603
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-2850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number300842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: