Provider Demographics
NPI:1871581587
Name:CHESS, QUINTUS (MD)
Entity type:Individual
Prefix:DR
First Name:QUINTUS
Middle Name:
Last Name:CHESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BLEEKER AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-4516
Mailing Address - Country:US
Mailing Address - Phone:914-879-9465
Mailing Address - Fax:914-777-3755
Practice Address - Street 1:711 BLEEKER AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-4516
Practice Address - Country:US
Practice Address - Phone:914-879-9465
Practice Address - Fax:914-777-3755
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1407911207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology