Individual
EMMELINE FOURCAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11668 232ND ST, CAMBRIA HEIGHTS, NY 11411-1834
(718) 749-3015
Mailing address
11668 232ND ST, CAMBRIA HEIGHTS, NY 11411-1834
(718) 749-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706323
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
706323
NY
164W00000X
Licensed Practical Nurse
10 311160
NY
Other
Enumeration date
10/03/2012
Last updated
04/09/2019
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