Individual
CARLINE MARCELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 POLO RD, MASSAPEQUA, NY 11758-5938
(718) 724-3173
Mailing address
42 POLO RD, MASSAPEQUA, NY 11758-5938
(718) 724-3173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
695769-01
NY
164W00000X
Licensed Practical Nurse
304843
NY
Other
Enumeration date
07/07/2011
Last updated
06/12/2024
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