Physician Compare National (NPI:1386758472)

HEALTHCARE PROVIDER: KERRY E QUINN DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386758472
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547462392
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101217000570
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QUINN
	Individual professional last name
Provider First Name	KERRY
	Individual professional first name
Provider Middle Name	EILEEN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17 S WILLIAMS ST
	Group Practice or individual's line 1 address
City	PEARL RIVER
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	109652421
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8457354720
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y