Provider Demographics
NPI:1043435704
Name:QUINN, DONNA MARIAN (NP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIAN
Last Name:QUINN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 1ST AVE
Mailing Address - Street 2:GBH, C-124
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6401
Mailing Address - Country:US
Mailing Address - Phone:212-263-5651
Mailing Address - Fax:212-263-0402
Practice Address - Street 1:545 1ST AVE
Practice Address - Street 2:GBH, C-124
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6401
Practice Address - Country:US
Practice Address - Phone:212-263-5651
Practice Address - Fax:212-263-0402
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000404-1176B00000X
NYF360416363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology