Provider Demographics
NPI:1609398569
Name:ALANNA A. QUINN
Entity type:Organization
Organization Name:ALANNA A. QUINN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALANNA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:631-329-0373
Mailing Address - Street 1:287 SPRINGS FIREPLACE RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-4823
Mailing Address - Country:US
Mailing Address - Phone:631-329-0373
Mailing Address - Fax:
Practice Address - Street 1:287 SPRINGS FIREPLACE RD
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-4823
Practice Address - Country:US
Practice Address - Phone:631-329-0373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty