Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F000404-1 | NY |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | F360416 | NY |
NPI | 1043435704 |
---|---|
Provider Name | Ms. Donna Marian Quinn |
First Address | New York, NY 10016-6401 |
Second Address | New York, NY 10016-6401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 17/06/2021 |