Individual
MS. MARLENE E BERLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
#1054 RT. 23B, LEEDS, NY 12451
(518) 965-2580
Mailing address
PO BOX 412, LEEDS, NY 12451-0412
(518) 965-2580
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
556943-1
NY
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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