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1457775991
ELYSE PATRICIA HADDOCK
LYNBROOK, NY
NPI
1457775991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: NY 317281)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
-- ELYSE PATRICIA HADDOCK lpn
32 CHARLES ST
LYNBROOK, NY 11563-2702
Phone number: 347-993-1133
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Mailing Address
-- ELYSE PATRICIA HADDOCK lpn
32 CHARLES ST
LYNBROOK, NY 11563-2702
Phone number: 347-993-1133
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