Provider Demographics
NPI:1255104410
Name:QUIRANTE, DAVE RONNIEL BOOK (PT, DPT)
Entity type:Individual
Prefix:
First Name:DAVE RONNIEL
Middle Name:BOOK
Last Name:QUIRANTE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MORGAN ST APT 4G
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5497
Mailing Address - Country:US
Mailing Address - Phone:240-614-6494
Mailing Address - Fax:
Practice Address - Street 1:95 MORGAN ST APT 4G
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5497
Practice Address - Country:US
Practice Address - Phone:240-614-6494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04138301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist