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NPI Code Detail

MEDICARE: TAYLOR ANNE QUINN LMSW

MEDICARE: TAYLOR ANNE QUINN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker120809NY

General Provider Information

NPI Number : 1336987445
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ANNE QUINN LMSW
Provider Business Mailing Address
First Line : 225 E 202ND ST APT 5D
Second Line :
City : BRONX
State : NY
Zip : 10458-1524
Country : US
Telephone Number : 914-772-1289
Fax Number :
Provider Business Practice Location Address
First Line : 1265 FRANKLIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3501
Country : US
Telephone Number : 914-772-1289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 07/15/2024

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Directions to “ TAYLOR ANNE QUINN LMSW” Practice Location

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