Provider Demographics
NPI:1598959207
Name:QUINONES, WENDY VIRGINIA (CPNP)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:VIRGINIA
Last Name:QUINONES
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E 64TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6704
Mailing Address - Country:US
Mailing Address - Phone:212-535-9779
Mailing Address - Fax:212-535-7699
Practice Address - Street 1:317 E 64TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6704
Practice Address - Country:US
Practice Address - Phone:212-535-9779
Practice Address - Fax:212-535-7699
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381617363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics