Organization
LAURA MARQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARQUE (LPN)
(646) 207-9661
Entity
Organization
Contact information
Practice address
147 MARYLAND AVE, STATEN ISLAND, NY 10305-3018
(646) 207-9661
Mailing address
147 MARYLAND AVE, STATEN ISLAND, NY 10305-3018
(646) 207-9661
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
298487
NY
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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