Provider Demographics
NPI:1184058851
Name:TESSIER, MARIE C (RN)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:C
Last Name:TESSIER
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 1:252 W CLARKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-7221
Mailing Address - Country:US
Mailing Address - Phone:845-263-0260
Mailing Address - Fax:
Practice Address - Street 1:252 W CLARKSTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-7221
Practice Address - Country:US
Practice Address - Phone:845-263-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350239-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse