Provider Demographics
NPI:1467881888
Name:QUINONES, LIZZETTE (BA)
Entity Type:Individual
Prefix:MS
First Name:LIZZETTE
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9206 95TH AVE
Mailing Address - Street 2:2F
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1528
Mailing Address - Country:US
Mailing Address - Phone:718-682-3372
Mailing Address - Fax:
Practice Address - Street 1:9206 95TH AVE
Practice Address - Street 2:2F
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1528
Practice Address - Country:US
Practice Address - Phone:718-682-3372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator