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1467322511 NPI number — GERALD VINCENT QUINNAN III LMSW

NPI Number: 1467322511
Health Care Provider/Practitioner: GERALD VINCENT QUINNAN III LMSW

Information about “1467322511” NPI (GERALD VINCENT QUINNAN III LMSW) exists in 1467322511 in HTML format HTML  |  1467322511 in plain Text format TXT  |  1467322511 in PDF (Portable Document Format) PDF  |  1467322511 in an XML format XML  formats.

NPI Number : 1467322511 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467322511",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUINNAN",
    "FirstName": "GERALD",
    "MiddleName": "VINCENT",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "QUINNAN",
    "OtherFirstName": "VINCENT",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "30 LAKE AVE APT 319",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARATOGA SPRINGS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12866-2598",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-801-3448",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 PROSPECT ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALLSTON SPA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12020-1367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-810-6466",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2025",
    "LastUpdateDate": "11/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "128114",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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