MARY ELLEN DIVER

HICKSVILLE, NY
NPI1851758205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: NY  308422-1)
Enumeration Date2016-01-15
Last Update Date2016-01-15
Business Address
-- MARY ELLEN DIVER
28 APRIL LN
HICKSVILLE, NY 11801-4453
Phone number: 516-238-4520
Mailing Address
-- MARY ELLEN DIVER
28 APRIL LN
HICKSVILLE, NY 11801-4453
Phone number: 516-238-4520
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