| Emilio P Quines Jr, MD | |
|
1556 Straight Path, Martin Luther King Jr Health Center, Wyandanch, NY 11798 | |
| (631) 854-1781 | |
| (631) 854-1783 |
| Full Name | Emilio P Quines Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1556 Straight Path, Wyandanch, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639267776 | NPI | - | NPPES |
| 80095866 | Other | RR | |
| 00200766 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 111516 (New York) | Primary |
| 207R00000X | Internal Medicine | 111516 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio P Quines Jr, MD 86 Anchorage Drive, West Islip, NY 11795 Ph: (631) 854-1781 | Emilio P Quines Jr, MD 1556 Straight Path, Martin Luther King Jr Health Center, Wyandanch, NY 11798 Ph: (631) 854-1781 |
Carly Gennaro, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1556 Straight Path, Wyandanch, NY 11798 Phone: 516-214-8020 Fax: 516-214-8022 |