Provider Demographics
NPI:1679060305
Name:CINEAS, MARIE FLORE (LPN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:FLORE
Last Name:CINEAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-4704
Mailing Address - Country:US
Mailing Address - Phone:203-685-0661
Mailing Address - Fax:347-295-2099
Practice Address - Street 1:479 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-4704
Practice Address - Country:US
Practice Address - Phone:347-915-2210
Practice Address - Fax:347-295-2099
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328555164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse