| Marie Jefferson, | |
|
2139 State Route 32, Modena, NY 12548-5213 | |
| (845) 883-4227 | |
| Not Available |
| Full Name | Marie Jefferson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2139 State Route 32, Modena, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457566713 | NPI | - | NPPES |
| 02322952 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 270543-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Jefferson, 2139 State Route 32, Modena, NY 12548-5213 Ph: () - | Marie Jefferson, 2139 State Route 32, Modena, NY 12548-5213 Ph: (845) 883-4227 |
Jerra Santaniello, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1820 State Route 32, Modena, NY 12548 Phone: 718-828-2666 | |
Heather Roger, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 Meadow Ln, Modena, NY 12548 Phone: 845-392-6905 | |
Ellen Puleo, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2135 State Route 32, Modena, NY 12548 Phone: 845-883-5768 | |
Ann-marie Cross, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 143 Patura Rd, Modena, NY 12548 Phone: 845-234-3538 |