Provider Demographics
NPI:1609501337
Name:QUINONES, ALPHONSO AVILA (DHA, RRT, AE-C)
Entity Type:Individual
Prefix:DR
First Name:ALPHONSO
Middle Name:AVILA
Last Name:QUINONES
Suffix:
Gender:M
Credentials:DHA, RRT, AE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MERCY HOSPITAL- RESPIRATORY THERAPY DEPARTMENT
Mailing Address - Street 2:1000 N. VILLAGE AVE
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-705-3762
Mailing Address - Fax:
Practice Address - Street 1:MERCY HOSPITAL- RESPIRATORY THERAPY DEPARTMENT
Practice Address - Street 2:1000 N. VILLAGE AVE
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-705-3762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001685227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered