EMILIO P QUINES JR. (NPI# 1639267776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639267776 |
| Entity Type | Individual |
| Full Name | EMILIO P QUINES JR. |
| Credential | MD |
| Practice Address |
1556 Straight Path Martin Luther King Jr Health Center Wyandanch NY 11798 |
| Mailing Address |
86 Anchorage Drive West Islip NY 11795 |
| Practice Telephone | 6318541781 |
| Practice Fax Number | 6318541783 |
| Mailing Telephone | 6318541781 |
| Mailing Fax Number | 6318541783 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 111516 | NY | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 111516 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00200766 | 05 | |
| RR | 80095866 | 01 |
| Street Address |
1556 STRAIGHT PATH MARTIN LUTHER KING JR HEALTH CENTER |
| City | WYANDANCH |
| State | NY |
| Zip Code | 11798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346344710 | Rajesh Savargaonkar | Pediatrics | 1556 Straight Path, Martin Luther King Jr Health Center, Wyandanch, NY 11798 | 2006-09-07 |
| 1265955850 | Marie O'donnell | Social Worker | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2017-07-25 |
| 1396195343 | Carly Gennaro | Family Medicine | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2016-06-20 |
| 1154705531 | Maria Roman-kasmierczak | Social Worker | 1556 Straight Path, Hudson River Healthcare, Inc., Wyandanch, NY 11798-3213 | 2015-07-15 |
| 1952718181 | Hudson River Healthcare, Inc. | Case Management | 1556 Straight Path, Hrhcare Wyandanch, Wyandanch, NY 11798-3213 | 2014-07-21 |
| 1568568236 | Donna Moodie | Dietitian, Registered | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-16 |
| 1255435665 | Arthur Calica Liclican | Internal Medicine | 1556 Straight Path, Wyandanch, NY 11798 | 2006-09-08 |
| 1275637480 | County of Suffolk | Clinic/Center | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868308 | Debra Mccall | Social Worker | 228 Nicholls Road, Wheatley Heights, NY 11798 | 2019-12-18 |
| 1003454448 | Wyandanch Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 32 Station Drive, Wyandanch, NY 11798 | 2019-12-17 |
| 1477912749 | Ivan St.louis | Physical Therapy Assistant | 8 Adams Avenue, Wheatley Hgts, NY 11798 | 2016-02-16 |
| 1396115044 | Nitika Kohli | Physical Therapist | 27 Manchester Blvd, Wheatley Heights, NY 11798 | 2015-10-06 |
| 1760800999 | Anna Aygar | Social Worker | 240 Long Islan Avenue, Wyandanch, NY 11798 | 2014-04-04 |
| 1831514439 | Maglyne Badeau | Registered Nurse | 36 Venedia Drive, Wheatley Heights, NY 11798 | 2014-02-19 |
| 1861700866 | Patricia Maria Suazo | Home Health | 68 South 26th Street, Wyandanch, NY 11798 | 2010-09-24 |
| 1588980353 | Natasha Lee Fonseca | Social Worker | 240 Long Island Avenue, Wyandanch, NY 11798 | 2010-04-19 |
| 1154563070 | Leticia Langdet | Registered Nurse | 1 Irving Avenue, Apt 2-b, Wyandanch, NY 11798 | 2009-03-25 |
| 1184845836 | Yanick Boucard | Occupational Therapy Assistant | 4 Sunset Ave, Wheatly Heights, NY 11798 | 2007-05-01 |
| Find all providers in zip 11798 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195343 | Carly Gennaro | Family Medicine | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.