Individual
MARIE BARTOLOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 668-8044
Mailing address
20 GIRARD ST, STATEN ISLAND, NY 10307-1100
(718) 608-8470
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
480491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480491
NEW YORK STATE REGISTERED PROFESSIONAL NURSE LICENSING
NY
Enumeration date
02/11/2016
Last updated
02/11/2016
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