Provider Demographics
NPI:1538562814
Name:QUINONES, REINALDO JR (MS ED)
Entity type:Individual
Prefix:MR
First Name:REINALDO
Middle Name:
Last Name:QUINONES
Suffix:JR
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 5TH AVE
Mailing Address - Street 2:APT. 2B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1000
Mailing Address - Country:US
Mailing Address - Phone:646-732-8186
Mailing Address - Fax:
Practice Address - Street 1:1365 5TH AVE
Practice Address - Street 2:APT. 2B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1000
Practice Address - Country:US
Practice Address - Phone:646-732-8186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3514821252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency