Provider Demographics
NPI:1679019327
Name:MARCELIN, FLORE (RN)
Entity Type:Individual
Prefix:MRS
First Name:FLORE
Middle Name:
Last Name:MARCELIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2257 HOFFMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2823
Mailing Address - Country:US
Mailing Address - Phone:347-564-6281
Mailing Address - Fax:
Practice Address - Street 1:2257 HOFFMAN AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2823
Practice Address - Country:US
Practice Address - Phone:347-564-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY625068-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse