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Individual

MS. MARIE LUMENE CLERSAINT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
625 E 85TH ST, BROOKLYN, NY 11236
(646) 270-5265
Mailing address
625 E 85TH ST, BROOKLYN, NY 11236-3470
(646) 270-5265

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
322501-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9151014609
1199
NY
Enumeration date
11/16/2015
Last updated
11/16/2015
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