Provider Demographics
NPI:1295470805
Name:QU, REINA J (DO)
Entity type:Individual
Prefix:DR
First Name:REINA
Middle Name:J
Last Name:QU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:125 WALKER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4135
Mailing Address - Country:US
Mailing Address - Phone:212-226-8866
Mailing Address - Fax:212-226-2289
Practice Address - Street 1:131-72 40TH ROAD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5137
Practice Address - Country:US
Practice Address - Phone:718-587-1111
Practice Address - Fax:718-886-3903
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2025-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY334279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine