Individual
MARJORIE POUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 LYON ST, VALLEY STREAM, NY 11580-2527
(516) 612-3858
Mailing address
295 LYON ST, VALLEY STREAM, NY 11580-2527
(516) 612-3858
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
418660
NY
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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