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NPI Code Detail

MEDICARE: JACQUELINE HAY LPN

MEDICARE: JACQUELINE HAY LPN
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
1164W00000XLicensed Practical Nurse310114NY

General Provider Information

NPI Number : 1306283783
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE HAY LPN
Provider Business Mailing Address
First Line : 1519 N WINTON RD
Second Line : H3
City : ROCHESTER
State : NY
Zip : 14609-5812
Country : US
Telephone Number : 585-482-6009
Fax Number :
Provider Business Practice Location Address
First Line : 1519 N WINTON RD
Second Line : H3
City : ROCHESTER
State : NY
Zip : 14609-5812
Country : US
Telephone Number : 585-482-6009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2013
Last Update Date : 05/27/2013

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Directions to “ JACQUELINE HAY LPN” Practice Location

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