Individual
MARY RESTAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 COUNTRY CLUB RD, BELLPORT, NY 11713-2325
(934) 451-9229
Mailing address
102 COUNTRY CLUB RD, BELLPORT, NY 11713-2325
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
764545
NY
163WH0200X
Home Health Registered Nurse
764545
NY
Other
Enumeration date
05/18/2015
Last updated
11/16/2023
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