Provider Demographics
NPI:1225828288
Name:QUINONES GREEN, ADRIAN DAVID
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:DAVID
Last Name:QUINONES GREEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10313 B OLD STATE RD
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-0000
Mailing Address - Country:US
Mailing Address - Phone:787-432-3349
Mailing Address - Fax:
Practice Address - Street 1:10313 B OLD STATE RD
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-0000
Practice Address - Country:US
Practice Address - Phone:787-432-3349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013871-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor