Individual
MRS. MAUREEN KELLY MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 RICHMOND PL, HUNTINGTON STATION, NY 11746-1340
(631) 271-4482
Mailing address
3 RICHMOND PL, HUNTINGTON STATION, NY 11746-1340
(631) 271-4482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
465844-1
NY
163WA2000X
Administrator Registered Nurse
Primary
465844-1
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
465844-1
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
465844-1
NY
163WS0200X
School Registered Nurse
465844-1
NY
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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