Provider Demographics
NPI:1518114099
Name:ERLINDA QUILANETA
Entity Type:Organization
Organization Name:ERLINDA QUILANETA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUILANETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-642-7217
Mailing Address - Street 1:25 SHARON DR
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-1924
Mailing Address - Country:US
Mailing Address - Phone:631-642-7217
Mailing Address - Fax:
Practice Address - Street 1:25 SHARON DR
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-1924
Practice Address - Country:US
Practice Address - Phone:631-642-7217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health