Individual
MARLYNE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
(718) 886-8694
Mailing address
7000 AUSTIN STREET SUITE #200, FORREST HILLS,, NY 11375
(718) 762-7633
(718) 886-8694
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1051808161
NY
Other
Enumeration date
09/01/2016
Last updated
09/02/2016
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