Provider Demographics
NPI:1750089538
Name:QUINN, DIANE THERESA (LCAT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:THERESA
Last Name:QUINN
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3544
Mailing Address - Country:US
Mailing Address - Phone:914-282-0468
Mailing Address - Fax:
Practice Address - Street 1:51 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3544
Practice Address - Country:US
Practice Address - Phone:914-282-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001813221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist