Provider Demographics
NPI:1831464197
Name:SYMES, MARGUERITE BARBARA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:BARBARA
Last Name:SYMES
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 1:11214 178TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-4118
Mailing Address - Country:US
Mailing Address - Phone:718-291-3462
Mailing Address - Fax:718-291-3462
Practice Address - Street 1:280 HART ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-7106
Practice Address - Country:US
Practice Address - Phone:718-574-8626
Practice Address - Fax:718-574-8611
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY392944163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse