| Kami Quinn Medical Doctor Pllc | |
|
76 Southaven Ave Suite 4 Medford NY 11763-3745 | |
| (631) 569-4055 | |
| (631) 569-4056 |
| Full Name | Kami Quinn Medical Doctor Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 76 Southaven Ave, Medford, New York |
| Authorized Official Name and Position | Kami Quinn Barry (OWNER FAMILY PRACTICE PHYSICIAN) |
| Authorized Official Contact | 6315694055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kami Quinn Medical Doctor Pllc 76 Southaven Ave Suite 4 Medford NY 11763-3745 Ph: (631) 569-4055 | Kami Quinn Medical Doctor Pllc 76 Southaven Ave Suite 4 Medford NY 11763-3745 Ph: (631) 569-4055 |
| NPI Number | 1265610166 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265610166 | NPI | - | NPPES |
| 1114936317 | Other | NY | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222984 (New York) | Primary |
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