Provider Demographics
NPI:1265871271
Name:QUINLAN, CARINA KROENBERG
Entity type:Individual
Prefix:MRS
First Name:CARINA
Middle Name:KROENBERG
Last Name:QUINLAN
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 1:691 SAINT PAUL ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1706
Mailing Address - Country:US
Mailing Address - Phone:585-753-5252
Mailing Address - Fax:585-342-1742
Practice Address - Street 1:691 SAINT PAUL ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1706
Practice Address - Country:US
Practice Address - Phone:585-753-5252
Practice Address - Fax:585-342-1742
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator