Individual
MARCIA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FENIMORE ST, BROOKLYN, NY 11225-5906
(917) 692-5907
Mailing address
400 FENIMORE ST, BROOKLYN, NY 11225-5906
(917) 692-5907
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5023631
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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