Provider Demographics
NPI:1558519678
Name:QUATINETZ, LARA VALENTINE (DO)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:VALENTINE
Last Name:QUATINETZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 CROSS RIVER ROAD
Mailing Address - Street 2:FOUR WINDS HOSPITAL
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536
Mailing Address - Country:US
Mailing Address - Phone:914-763-8151
Mailing Address - Fax:877-810-1175
Practice Address - Street 1:800 CROSS RIVER ROAD
Practice Address - Street 2:FOUR WINDS HOSPITAL
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536
Practice Address - Country:US
Practice Address - Phone:914-763-8151
Practice Address - Fax:877-810-1175
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2659592084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry