Individual
MRS. MARY ALICE KACINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
68 CLEVELAND AVE, SAYVILLE, NY 11782-1323
(631) 589-6070
Mailing address
68 CLEVELAND AVE, SAYVILLE, NY 11782-1323
(631) 589-6070
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
388512-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02431863
—
NY
Enumeration date
03/04/2008
Last updated
03/04/2008
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