| Marie Roosevelt Mallebranche, | |
|
25742 145th Ave, Rosedale, NY 11422-3315 | |
| (347) 754-1221 | |
| Not Available |
| Full Name | Marie Roosevelt Mallebranche |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Case Management |
| Location | 25742 145th Ave, Rosedale, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558924118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0400X | Registered Nurse - Case Management | 519543 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Roosevelt Mallebranche, 25742 145th Ave, Rosedale, NY 11422-3315 Ph: (347) 754-1221 | Marie Roosevelt Mallebranche, 25742 145th Ave, Rosedale, NY 11422-3315 Ph: (347) 754-1221 |
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