Provider Demographics
NPI:1558689885
Name:QUINCOSES, ALLISON L (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:QUINCOSES
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LINDSEY
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:5 ADELE CT
Mailing Address - Street 2:
Mailing Address - City:AMAWALK
Mailing Address - State:NY
Mailing Address - Zip Code:10501-1016
Mailing Address - Country:US
Mailing Address - Phone:914-557-8842
Mailing Address - Fax:
Practice Address - Street 1:75 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-3420
Practice Address - Country:US
Practice Address - Phone:914-557-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016094-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist