Provider Demographics
NPI:1134283062
Name:QUILL, CAROLINE MAYBERRY (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MAYBERRY
Last Name:QUILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX MED
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-486-0147
Mailing Address - Fax:585-486-0673
Practice Address - Street 1:400 RED CREEK DR
Practice Address - Street 2:SUITE #110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4273
Practice Address - Country:US
Practice Address - Phone:585-486-0147
Practice Address - Fax:585-486-0673
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2023-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY268205207XS0106X, 207RP1001X
PAMD440277207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine