Individual
MS. MARILYN JOSEPH BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 BRITTANY CT, NORTHPORT, NY 11768-3225
(631) 834-5422
Mailing address
190 HEATHCOTE RD, ELMONT, NY 11003-2006
(516) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
22-582918
NY
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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