Therese Elizabeth Quinn

Primary specialty

SpecialistTaxonomy code 174400000X

License

544502111 Issued in NY

Practice address

3907 210TH St
Apartment 1
Bayside, NY 11361-1951

Phone

(516) 659-2118

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1083041180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 210TH ST",
            "address_2": "APARTMENT 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611951",
            "telephone_number": "516-659-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 210TH ST",
            "address_2": "APARTMENT 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611951",
            "telephone_number": "516-659-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "THERESE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "544502111",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "353865091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION",
            "identifier": "544502111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION",
            "identifier": "353865091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Qiu
• Mary Elizabeth Queally, REGISTERED NURSE
• Queens County Physical Therapy and Wellness,PC
• Queens Eyecare Physician PC
• Queens Rehabilitation & Diagnostics
• Coral Elise Quintyne, LPN
• Euna Veronica Ra
• Sharon M. Rafaloff, D.P.M.
• Kabira Rafeek
• Florence H. Rafman, M.S. CCC SLP

• Specialist in Bayside, NY
• Providers in Bayside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.