Provider Demographics
NPI:1316370307
Name:CONFIDENT, MARIE M
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:M
Last Name:CONFIDENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 FREEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4102
Mailing Address - Country:US
Mailing Address - Phone:516-633-8778
Mailing Address - Fax:
Practice Address - Street 1:230-12B KINGSBURY AVE.
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3136
Practice Address - Country:US
Practice Address - Phone:516-633-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334244-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice