ELYSE PATRICIA HADDOCK LPN NPI 1457775991

NPI Details

Elyse Patricia Haddock, LPN is a nursing facility intermediate care facility in Lynbrook, NY. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. Elyse Patricia Haddock, LPN NPI is 1457775991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

32 CHARLES ST
LYNBROOK, NY
ZIP 11563-702
Phone: (347) 993-1133

The enumeration date for this NPI number is 2/4/2014 and was last updated on 2/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: