Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 2586171 | NY |
NPI | 1104053610 |
---|---|
Provider Name | Adrianne O'quinn |
First Address | Liverpool, NY 13090-3973 |
Second Address | Liverpool, NY 13090-3973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 20/05/2015 |