Individual
MARYSE C DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 BENTLEY RD, AMITYVILLE, NY 11701-1704
(631) 608-1888
Mailing address
34 BENTLEY RD, AMITYVILLE, NY 11701-1704
(631) 608-1888
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
580076
NY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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