Provider Demographics
NPI:1225788532
Name:HINDS, MARQUIS JOESPH I (RN)
Entity Type:Individual
Prefix:MR
First Name:MARQUIS
Middle Name:JOESPH
Last Name:HINDS
Suffix:I
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1719
Mailing Address - Country:US
Mailing Address - Phone:914-230-3647
Mailing Address - Fax:
Practice Address - Street 1:407 HANCOCK AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1719
Practice Address - Country:US
Practice Address - Phone:914-230-3647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY80860901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse