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:
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Health care specialties

SpecialtyCodeLicense #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 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114187762 NPPES
New York MEDICAID 04345231

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