Individual
MARIE HODELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 GREENWAY BLVD, VALLEY STREAM, NY 11580-1218
(516) 887-3672
Mailing address
1642 GREENWAY BLVD, VALLEY STREAM, NY 11580-1218
(516) 887-3672
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
503006
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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