Poore, Quintin E
Poore, Quintin E is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Poore, Quintin E can be contacted via phone (315) 772-9292.Contact Information
Primary practice address
11050 Mount Belvedere Blvd
Fort Drum NY 13602-5438
Phone: (315) 772-9292
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 015686-1 | New York |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 015686-1 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015686-1 | New York |
Profile Details
NPI number | 1689622193 |
---|---|
LBN Legal business name | Poore, Quintin E |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Jan 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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