Individual
MARLO EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 1ST AVE, NEW YORK, NY 10010-4004
(212) 802-1500
Mailing address
6940 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3759
(347) 426-8284
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
623368
NY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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