Provider Demographics
NPI:1942016688
Name:QUINN, ANDREW SEKOU (JD MHC-LP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:SEKOU
Last Name:QUINN
Suffix:
Gender:M
Credentials:JD MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4014
Mailing Address - Country:US
Mailing Address - Phone:646-653-9104
Mailing Address - Fax:
Practice Address - Street 1:3 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4014
Practice Address - Country:US
Practice Address - Phone:646-653-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP118879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health