Basic Information
| Provider Information | |||||||||
| NPI: | 1366877516 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AARON QUAMINA, MD PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 399 MADISON ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112211102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9548574486 | ||||||||
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| Practice Location | |||||||||
| Address1: | 374 STOCKHOLM ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112374006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189637272 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2013 | ||||||||
| LastUpdateDate: | 09/06/2013 | ||||||||
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| AuthorizedOfficialLastName: | QUAMINA | ||||||||
| AuthorizedOfficialFirstName: | AARON | ||||||||
| AuthorizedOfficialMiddleName: | J. S. | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAM | ||||||||
| AuthorizedOfficialTelephone: | 9548574486 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 260328 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.