Provider Demographics
NPI:1265725717
Name:MARLON LAYNE INC
Entity type:Organization
Organization Name:MARLON LAYNE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:LAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:917-648-2036
Mailing Address - Street 1:2150 BEDFORD AVE
Mailing Address - Street 2:D3N
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3251
Mailing Address - Country:US
Mailing Address - Phone:917-648-2036
Mailing Address - Fax:
Practice Address - Street 1:2150 BEDFORD AVENUE
Practice Address - Street 2:D3N
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226
Practice Address - Country:US
Practice Address - Phone:917-648-2036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY560706163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty