Provider Demographics
NPI:1467585109
Name:QUINONES, HELEN VERONICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:VERONICA
Last Name:QUINONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 JOHNSON AVE
Mailing Address - Street 2:APT. 6G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1617
Mailing Address - Country:US
Mailing Address - Phone:718-796-1603
Mailing Address - Fax:718-548-2763
Practice Address - Street 1:3600 FIELDSTON RD
Practice Address - Street 2:SUITE 3D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2004
Practice Address - Country:US
Practice Address - Phone:718-796-1603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010989103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14490OtherVALUE OPTIONS INSURANCE
NY227890OtherMHN INSURANCE