Individual
MARLENE DEPESTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PARKVIEW PL, ELMONT, NY 11003-4818
(516) 285-1251
Mailing address
4 PARKVIEW PL, ELMONT, NY 11003-4818
(516) 285-1251
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3286881
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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