Individual
MS. MARILYN J EJERCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MS
Contact information
Practice address
124 MAIN ST, GOSHEN, NY 10924-2124
(845) 291-2330
(845) 291-2380
Mailing address
124 MAIN ST., GOSHEN, NY 10924
(845) 291-2330
(845) 291-2380
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
297319-1
NY
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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