Individual
MRS. MIRIAM WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 PINE ST, FREEPORT, NY 11520-3617
(516) 867-4326
Mailing address
144 NEW YORK AVE, FREEPORT, NY 11520-1538
(516) 867-5287
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
421348
NY
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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