Individual
MARLOW FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4107
Mailing address
9611 65TH RD APT 611, REGO PARK, NY 11374-4106
(718) 264-4107
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
776944
NY
Other
Enumeration date
07/31/2025
Last updated
08/01/2025
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