Individual
MARVIN COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 ROCKAWAY PKWY APT 1R, BROOKLYN, NY 11212-3485
(347) 570-7665
Mailing address
356 ROCKAWAY PKWY APT 1R, BROOKLYN, NY 11212-3485
(347) 570-7665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
342858
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
342858
NY
Other
Enumeration date
11/10/2018
Last updated
03/12/2019
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