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General NPI Number Information
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NPI Number | 1801116256
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Entity Type | Individual
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Provider Name | ELBA M. QUINONES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 420 95TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-7404
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Country | US
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Telephone | 718-448-0771
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Fax | 718-448-0771
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Provider Business Mailing Address
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Address Line | 71 CROSSHILL ST STATEN ISLAND
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City | STATEN ISLAND
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State | NY
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Zip | 10301-3307
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Country | US
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Telephone | 718-448-0771
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Fax | 718-448-0771
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 018438-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 059167-1
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License Number State | NY
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