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Individual

LEA MARBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(728) 904-2000
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2872

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101525
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
539118-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE
Enumeration date
04/29/2014
Last updated
02/14/2020
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