Medjin Ducoste-refuse, | |
21215 112th Rd, Queens Village, NY 11429-2313 | |
(917) 421-2947 | |
Not Available |
Full Name | Medjin Ducoste-refuse |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 21215 112th Rd, Queens Village, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245780071 | NPI | - | NPPES |
301152 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 301152 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Medjin Ducoste-refuse, 21215 112th Rd, Queens Village, NY 11429-2313 Ph: (917) 421-2947 | Medjin Ducoste-refuse, 21215 112th Rd, Queens Village, NY 11429-2313 Ph: (917) 421-2947 |
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