Most Relevant Information
Provider Data
| NPI Number: | 1003688375 |
| Provider Name: | MIRLANDE MATHURIN-THERVIL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 911643 |
Most Important Dates
| Enumeration Date: | 10/30/2023 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
272 HALLOCK RD
STONY BROOK
NY
117903027
Practice Location Phone/Fax
| Phone: | 6314784480 |
| Fax: |
Provider Mailing Location
272 HALLOCK RD
STONY BROOK
NY
117903027
Provider Mailing Phone/Fax
| Phone: | 6314784480 |
| Fax: |