Provider Demographics
NPI:1114664364
Name:QUASHIE, KINO KERON
Entity Type:Individual
Prefix:
First Name:KINO
Middle Name:KERON
Last Name:QUASHIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 OCEAN AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5928
Mailing Address - Country:US
Mailing Address - Phone:347-243-3557
Mailing Address - Fax:
Practice Address - Street 1:806 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5954
Practice Address - Country:US
Practice Address - Phone:347-243-3557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst