Provider Demographics
NPI:1801299052
Name:QUANSAH, JULIANA
Entity type:Individual
Prefix:MS
First Name:JULIANA
Middle Name:
Last Name:QUANSAH
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 1:41 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1914
Mailing Address - Country:US
Mailing Address - Phone:718-881-2200
Mailing Address - Fax:718-881-2205
Practice Address - Street 1:41 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1914
Practice Address - Country:US
Practice Address - Phone:718-881-2200
Practice Address - Fax:718-881-2205
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY494145-1372600000X, 374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker