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General NPI Number Information
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NPI Number | 1790431625
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Entity Type | Individual
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Provider Name | AMY QUINN
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 300 GARDEN CITY PLZ STE 350
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City | GARDEN CITY
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State | NY
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Zip | 11530-3358
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Country | US
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Telephone | 516-747-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 6767 BURNS ST APT 7C
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City | FOREST HILLS
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State | NY
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Zip | 11375-3510
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Country | US
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Telephone | 516-474-6668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1497898211
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License Number State | NY
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