Individual
MS. MARSHA A NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
215 ROCKAWAY TPKE, LAWRENCE, NY 11559-1216
(516) 374-5024
(516) 792-0619
Mailing address
2333 HARRISON AVE, BALDWIN, NY 11510-3214
(516) 868-3728
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306205
NY
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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