Individual
MS. MIRLYNE RICHARDSON-ORIENTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 HUDSON AVE, VALLEY STREAM, NY 11580-4026
(516) 849-6816
Mailing address
23218 MERRICK BLVD, LAURELTON, NY 11413-2115
(718) 528-3432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
238787
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010556898
—
OH
Enumeration date
10/24/2008
Last updated
04/16/2018
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