Individual
MARLENE WELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROADWAY AVE, CENTRAL ISLIP, NY 11722-2436
(631) 348-5050
Mailing address
1 BROADWAY, CENTRAL ISLIP, NY 11722
(631) 348-5050
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
342605-1
NY
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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