MEDICARE: MILLECENT HOPE QUINAIN

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
1	225100000X	Physical Therapist	041047	NY

General Provider Information

NPI Number	:	1356884761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILLECENT HOPE QUINAIN

Provider Business Mailing Address
First Line	:	11949 UNION TPKE APT 12F
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6108
Country	:	US
Telephone Number	:	224-386-5423
Fax Number	:

Provider Business Practice Location Address
First Line	:	11949 UNION TPKE APT 12F
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6108
Country	:	US
Telephone Number	:	224-386-5423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	06/15/2021

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Directions to “ MILLECENT HOPE QUINAIN ” Practice Location

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