Individual
MRS. MARLENE BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
45 ASHLEY AVE, MIDDLETOWN, NY 10940-1912
(845) 326-8079
Mailing address
31 TERBAR LOOP, NEW PALTZ, NY 12561-4028
(845) 800-6447
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
458630
NY
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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