| Quintana Family Medical | |
|
290 S Wellwood Ave Lindenhurst NY 11757-4903 | |
| (631) 225-2999 | |
| (631) 225-2104 |
| Full Name | Quintana Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 290 S Wellwood Ave, Lindenhurst, New York |
| Authorized Official Name and Position | Andrea Quintana (PRESIDENT) |
| Authorized Official Contact | 6312252999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quintana Family Medical 290 S Wellwood Ave Lindenhurst NY 11757-4903 Ph: (631) 225-2999 | Quintana Family Medical 290 S Wellwood Ave Lindenhurst NY 11757-4903 Ph: (631) 225-2999 |
| NPI Number | 1437122967 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 2769433911 |
|---|---|
| Medicare Enrollment ID | O20050204000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437122967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrea Quintana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750354288 PECOS PAC ID: 4587650916 Enrollment ID: I20040421001836 |
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