Queenan, John T

Queenan, John T is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Queenan, John T can be contacted via phone (585) 275-4065.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Fax: (585) 756-5717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 218840 New York

Profile Details

NPI number 1720012826
LBN Legal business name Queenan, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 5th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1720012826 NPPES
New York Other P010218840 BLUE CHOICE
New York Other MDF691 BLUE CHOICE
New York MEDICAID 02104745 BLUE CHOICE
New York Other P010218840 BLUE CHOICE
New York Other 4935069 BLUE CHOICE

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