Provider Demographics
NPI:1851308605
Name:QUAYE, GEORGE ODAI (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ODAI
Last Name:QUAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225-14 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-0605
Mailing Address - Country:US
Mailing Address - Phone:718-528-0960
Mailing Address - Fax:718-528-3522
Practice Address - Street 1:225-14 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-0605
Practice Address - Country:US
Practice Address - Phone:718-528-0960
Practice Address - Fax:718-528-3522
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137850208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00402942Medicaid
D04047Medicare UPIN
NY00402942Medicaid