Individual
MARLENE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 359-7500
(845) 680-5538
Mailing address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 359-7500
(845) 680-5538
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
586666-01
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
586666-01
NY
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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