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NPI Code Detail

MEDICARE: LAURIE A. HANLEY NP

MEDICARE:   LAURIE A. HANLEY  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner334476-1NY

General Provider Information

NPI Number : 1568518645
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE A. HANLEY NP
Provider Business Mailing Address
First Line : 88 MOORES HILL RD
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-7288
Country : US
Telephone Number : 845-562-6503
Fax Number :
Provider Business Practice Location Address
First Line : 21 N PLANK RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-2128
Country : US
Telephone Number : 845-656-5943
Fax Number : 845-234-4564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 01/29/2009

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