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NPI Code Detail

MEDICARE: MISS MARILYN BIEN-AIME APN

MEDICARE: MISS MARILYN BIEN-AIME APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist26NJ00131900NJ
2363LF0000XFamily Nurse Practitioner26NJ00131900NJ
3363LF0000XFamily Nurse Practitioner336671NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467641449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARILYN BIEN-AIME APN
Provider Business Mailing Address
First Line : 41 KENMORE RD
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11581-2103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22022 HILLSIDE AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11427-2020
Country : US
Telephone Number : 718-975-7300
Fax Number : 718-464-7508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 07/14/2014

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