Provider Demographics
NPI:1417237124
Name:QUINN, PATRICIA HELEN (MS, LCAT, CASAC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:HELEN
Last Name:QUINN
Suffix:
Gender:F
Credentials:MS, LCAT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:POB 504
Mailing Address - City:UNIONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10988-0504
Mailing Address - Country:US
Mailing Address - Phone:845-649-0953
Mailing Address - Fax:
Practice Address - Street 1:199 KINGS HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3412
Practice Address - Country:US
Practice Address - Phone:845-649-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11132101YA0400X
NY000324-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)