Organization
SHAIINA MARSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAIINA KHITANYA MARSTON (REGISTERED NURSE)
(516) 304-4714
Entity
Organization
Contact information
Practice address
206 WHALEY ST, FREEPORT, NY 11520-4223
(516) 304-4714
Mailing address
206 WHALEY ST, FREEPORT, NY 11520-4223
(516) 304-4714
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
683949-1
NY
283Q00000X
Psychiatric Hospital
683949-1
NY
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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