Provider Demographics
NPI:1750769741
Name:QUINN, NIKOLETA FIONA (MA)
Entity type:Individual
Prefix:MS
First Name:NIKOLETA
Middle Name:FIONA
Last Name:QUINN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 172ND ST APT 93
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2356
Mailing Address - Country:US
Mailing Address - Phone:347-510-2257
Mailing Address - Fax:
Practice Address - Street 1:4214 193RD ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2943
Practice Address - Country:US
Practice Address - Phone:347-510-2257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist