Provider Demographics
NPI:1205810009
Name:QUINTON, MARGARET (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:QUINTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2389
Mailing Address - Country:US
Mailing Address - Phone:315-792-7629
Mailing Address - Fax:315-792-3617
Practice Address - Street 1:86 GENESEE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2389
Practice Address - Country:US
Practice Address - Phone:315-792-7629
Practice Address - Fax:315-792-3617
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332749363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02515213Medicaid
NYR17221Medicare UPIN
NYJ400072360Medicare PIN