Individual
CARLINE MARCELLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1220 PENINSULA BLVD # 5368, HEWLETT, NY 11557-1200
(516) 881-3484
Mailing address
1220 PENINSULA BLVD # 5368, HEWLETT, NY 11557-1200
(516) 881-3484
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009023
NY
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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