Provider Demographics
NPI:1750416822
Name:QUINT, ELIZABETH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:QUINT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4402
Mailing Address - Country:US
Mailing Address - Phone:718-768-8647
Mailing Address - Fax:
Practice Address - Street 1:544 7TH AVE RM 103
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6140
Practice Address - Country:US
Practice Address - Phone:718-788-6720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331099-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily