Quintana, Yandresco
Quintana, Yandresco is an sole proprietor health care provider with primary practice located at 651 W 180Th St Ste 1 , New York NY 10033-4802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Quintana, Yandresco can be contacted via phone (212) 927-0565.Contact Information
Primary practice address
651 W 180Th St Ste 1
New York NY 10033-4802
Phone: (212) 927-0565
Fax: (212) 812-3239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 276236 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 057383 | New York |
Profile Details
| NPI number | 1114187762 |
|---|---|
| LBN Legal business name | Quintana, Yandresco |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Sep 21st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114187762 | NPPES |
| New York | MEDICAID | 04345231 |
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