Provider Demographics
NPI:1578847471
Name:MARQUEZ, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MARQUEZ
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 1:677 BECK ST
Mailing Address - Street 2:APT 3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:677 BECK ST
Practice Address - Street 2:APT 3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3418
Practice Address - Country:US
Practice Address - Phone:646-266-6709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642664163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse