National Provider Identifier
Mavis Quayson
Mavis Quayson is listed in the NPPES registry with a primary specialty of Physical Therapist in Lewiston, NY and a listed phone number of (631) 520-8348.
Profile Overview
- NPI
- 1033852769
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 20, 2022
- Last Updated
- February 20, 2025
Practice Location
- 5285 Lewiston RD
- Lewiston, NY 14092-1942
Phone: (631) 520-8348
Mailing Address
- 67 Slate Creek Dr
- Cheektowaga, NY 14227-2854
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1033852769
- Entity Type
- Individual
- Last Name
- Quayson
- First Name
- Mavis
- Mailing Street Address
- 67 Slate Creek Dr
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-2854
- Mailing Country
- US
- Mailing Phone
- (631) 520-8348
- Practice Street Address
- 5285 Lewiston RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1942
- Practice Country
- US
- Practice Phone
- (631) 520-8348
- Enumeration Date
- April 20, 2022
- Last Updated
- February 20, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)