Individual
MRS. CAROL ANN LAYDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
887 KELLUM ST, LINDENHURST, NY 11757
(631) 884-3000
Mailing address
887 KELLUM ST, LINDENHURST, NY 11757
(631) 884-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2372171
NY
Other
Enumeration date
02/29/2008
Last updated
05/03/2026
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