Provider Demographics
NPI:1760720429
Name:FERRER-QUIANES, KEREN
Entity Type:Individual
Prefix:MS
First Name:KEREN
Middle Name:
Last Name:FERRER-QUIANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 MORRIS PARK AVE
Mailing Address - Street 2:#2B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1400
Mailing Address - Country:US
Mailing Address - Phone:917-477-7857
Mailing Address - Fax:
Practice Address - Street 1:1120 MORRIS PARK AVE
Practice Address - Street 2:#2B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1400
Practice Address - Country:US
Practice Address - Phone:917-477-7857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator