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Individual

ANGIE RUTH HYLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-4197
Mailing address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-4197

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338335
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
05
03879994
NY
Enumeration date
02/12/2014
Last updated
12/20/2016
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