Provider Demographics
NPI:1518278399
Name:JEAN-FRANCOIS, MARIE-LOURDES
Entity Type:Individual
Prefix:
First Name:MARIE-LOURDES
Middle Name:
Last Name:JEAN-FRANCOIS
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 1:15 JEDWOOD PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1813
Mailing Address - Country:US
Mailing Address - Phone:212-960-3753
Mailing Address - Fax:
Practice Address - Street 1:15 JEDWOOD PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1813
Practice Address - Country:US
Practice Address - Phone:212-960-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY581487163WS0200X
NY337057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WS0200XNursing Service ProvidersRegistered NurseSchool