Individual
MR. MARVIN CHRISTOPHER JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
714 STATE ST FL 2, ALBANY, NY 12203-1319
(518) 380-4766
Mailing address
714 STATE ST FL 2, ALBANY, NY 12203-1319
(518) 380-4766
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
339833
NY
Other
Enumeration date
11/18/2021
Last updated
07/16/2024
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