Individual
MRS. AUDRA YVETTE HANSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 HYLAN BLVD, STATEN ISLAND, NY 10305-2006
(347) 825-3778
Mailing address
192 HYLAN BLVD, STATEN ISLAND, NY 10305-2006
(347) 825-3778
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
242137
NY
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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