Provider Demographics
NPI:1962560615
Name:CONDE, MARIE FRANCE (MD)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:FRANCE
Last Name:CONDE
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:126 LAREDO DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4624
Mailing Address - Country:US
Mailing Address - Phone:718-282-4900
Mailing Address - Fax:
Practice Address - Street 1:350 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1362
Practice Address - Country:US
Practice Address - Phone:718-282-4900
Practice Address - Fax:718-282-4921
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1890692080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01352170Medicaid