Provider Demographics
NPI:1689698177
Name:QUINLIVAN, AMY TAMAYO (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:TAMAYO
Last Name:QUINLIVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:44 WATERFRONT CIR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-4315
Mailing Address - Country:US
Mailing Address - Phone:716-852-1015
Mailing Address - Fax:716-852-1015
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:PRIMARY CARE GROUP 2
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-862-8881
Practice Address - Fax:716-862-7812
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY217832207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine