Individual
MRS. CHEMIN MARIE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 DEER PARK AVE, DEER PARK, NY 11729-5208
(631) 667-0388
Mailing address
679 S 8TH ST, LINDENHURST, NY 11757-5520
(631) 226-7354
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306108
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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