Individual
MARISE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1106 E 57TH ST, BROOKLYN, NY 11234-3312
(134) 764-5440
Mailing address
1106 E 57TH ST, BROOKLYN, NY 11234-3312
(134) 764-5440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309451
NY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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