Provider Demographics
NPI:1104053610
Name:O'QUINN, ADRIANNE (MD)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:
Other - Last Name:MONACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7449 MORGAN RD
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3973
Mailing Address - Country:US
Mailing Address - Phone:315-451-5400
Mailing Address - Fax:
Practice Address - Street 1:7449 MORGAN RD
Practice Address - Street 2:BUILDING 2
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3973
Practice Address - Country:US
Practice Address - Phone:315-451-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2586171208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine