Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 302502 | NY |
NPI | 1033550041 |
---|---|
Provider Name | Abigail Marie Pichel Quintos |
First Address | Cooperstown, NY 13326-1394 |
Second Address | Cooperstown, NY 13326-1394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2013 |
Last Update Date | 16/10/2020 |