Lisa Quinones, MS CCC-SLP
Speech-Language Pathologist, in Staten Island, NY. Individual provider (NPI-1).
NPI number1649408204
StatusActive
Last updated in NPPESJun 22, 2009
Details
- NPI
- 1649408204
- Entity type
- Individual (NPI-1)
- Name
- Lisa Quinones
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2009
- Last updated
- Jun 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 016096-1 | NY | Yes |
Practice location
1535 Richmond Ave3rd Floor
Staten Island, NY 10314-1520
Phone 917-575-6174
Mailing address
21 West StApt 23h
New York, NY 10006-2920
Phone 917-575-6174
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