Individual
MARYLOU O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11436 202ND ST, PS811Q@PS822, SAINT ALBANS, NY 11412-2813
(718) 217-8001
(718) 464-6690
Mailing address
45 MIDWOOD RD, ROCKVILLE CENTRE, NY 11570-2019
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
416754-1
NY
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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