Provider Demographics
NPI:1013030659
Name:QUINONES, ILENA (BA)
Entity Type:Individual
Prefix:
First Name:ILENA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 EASTBURN AVE
Mailing Address - Street 2:APT. D2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-6924
Mailing Address - Country:US
Mailing Address - Phone:646-542-5310
Mailing Address - Fax:
Practice Address - Street 1:3600 JEROME AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-1052
Practice Address - Country:US
Practice Address - Phone:718-881-7600
Practice Address - Fax:718-654-1465
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor