Individual
MS. MARIE S RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8235 TURNSTONE DR, MANLIUS, NY 13104-2138
(315) 263-7442
Mailing address
7863 EISENHOWER BLVD, BRIDGEPORT, NY 13030-9405
(315) 317-6684
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
544264
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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