Provider Demographics
NPI:1790700912
Name:MCQUISTION, HUNTER LYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:LYLE
Last Name:MCQUISTION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 WEST END AVENUE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-222-6120
Mailing Address - Fax:212-523-5924
Practice Address - Street 1:865 WEST END AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-222-6120
Practice Address - Fax:212-523-5924
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1689812084P0800X
NY168981-12084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE51334Medicare UPIN
NY61F281Medicare PIN