Provider Demographics
NPI:1699104349
Name:BIEN-AIME, MARIE P (NP)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:P
Last Name:BIEN-AIME
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:P
Other - Last Name:BIEN-AIME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:328 BARLEAU ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-2834
Mailing Address - Country:US
Mailing Address - Phone:631-521-7702
Mailing Address - Fax:
Practice Address - Street 1:328 BARLEAU ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-2834
Practice Address - Country:US
Practice Address - Phone:631-521-7702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY507962163W00000X
NYF306198363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse