Individual
MARCIA FEARON X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2097
(718) 245-2486
Mailing address
170 03 136TH AVE, JAMAICA, NY 11434-4105
(718) 712-2709
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307260
NY
Other
Enumeration date
04/18/2016
Last updated
10/13/2024
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