Individual
MARIE FLORENCE MACENAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 LINDEN AVE, IRVINGTON, NJ 07111-2521
(718) 828-2666
Mailing address
90 LINDEN AVE, IRVINGTON, NJ 07111-2521
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06234000
NJ
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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