| Doctor Name: | MARIE L. NEPTUNE |
| NPI Number: | 1164792818 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACT PSYCH |
| License Number: | 549429 |
| Business Practice Address: | 998 Crooked Hill Rd Western Suffolk Center West Brentwood, NY - 117171019 |
| Business Phone Number: | 6317612082 |
| Business Fax Number: | 6317612282 |
| Mailing Address: | 998 Crooked Hill Rd, Western Suffolk Center WEST BRENTWOOD |
| State: | NY |
| Postal Code: | 117171019 |
| Phone Number: | 6317612082 |
| Fax Number: | 6317612282 |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 549429 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |