Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F304223-1 | NY |
NPI | 1023326527 |
---|---|
Provider Name | Miss Marie Sonie Fils-Aime |
First Address | Farmingville, NY 11788 |
Second Address | Farmingville, NY 11788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 17/09/2010 |