National Provider Identifier
Dan P Qantaqua
Dan P Qantaqua is listed in the NPPES registry with a primary specialty of Other Technician in Clifton Springs, NY and a listed phone number of (315) 462-2175.
Profile Overview
- NPI
- 1023215928
- Provider Type
- Individual
- Primary Specialty
- Other Technician
- Enumeration Date
- July 03, 2007
- Last Updated
- July 08, 2007
Practice Location
- 80 Prestige Dr
- Clifton Springs, NY 14432-9503
Phone: (315) 462-2175
Specialties
- Other Technician (247200000X)
Full Record
- NPI
- 1023215928
- Entity Type
- Individual
- Last Name
- Qantaqua
- First Name
- Dan
- Middle Name
- P
- Mailing Street Address
- 80 Prestige Dr
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-9503
- Mailing Country
- US
- Mailing Phone
- (315) 462-2175
- Practice Street Address
- 80 Prestige Dr
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9503
- Practice Country
- US
- Practice Phone
- (315) 462-2175
- Enumeration Date
- July 03, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Other Technician (247200000X)