Provider Demographics
NPI:1710548235
Name:QUADRI, OLUTOSIN (DO)
Entity Type:Individual
Prefix:DR
First Name:OLUTOSIN
Middle Name:
Last Name:QUADRI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 POST ST
Mailing Address - Street 2:A
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401
Mailing Address - Country:US
Mailing Address - Phone:860-938-1777
Mailing Address - Fax:
Practice Address - Street 1:279 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1623
Practice Address - Country:US
Practice Address - Phone:845-255-2930
Practice Address - Fax:845-633-5937
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program