| Marie C Etienne, | |
|
25543 147th Rd, Rosedale, NY 11422-2827 | |
| (718) 949-5994 | |
| Not Available |
| Full Name | Marie C Etienne |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 25543 147th Rd, Rosedale, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689805871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 266637 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marie C Etienne, 25543 147th Rd, Rosedale, NY 11422-2827 Ph: (718) 949-5994 | Marie C Etienne, 25543 147th Rd, Rosedale, NY 11422-2827 Ph: (718) 949-5994 |
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