Provider Demographics
NPI:1174665491
Name:QUIROZ, AUREA T (MD)
Entity Type:Individual
Prefix:DR
First Name:AUREA
Middle Name:T
Last Name:QUIROZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AUREA
Other - Middle Name:B
Other - Last Name:TOBIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25 HARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1515
Mailing Address - Country:US
Mailing Address - Phone:201-387-1686
Mailing Address - Fax:
Practice Address - Street 1:460 WEST 41ST STREET
Practice Address - Street 2:COVENANT HOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036
Practice Address - Country:US
Practice Address - Phone:212-613-0315
Practice Address - Fax:212-268-2832
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215171208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics