Individual
MS. JACQUELINE TAYLOR HANLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FLUSHING AVE, 2ND FL, BROOKLYN, NY 11206-5026
(718) 828-2666
Mailing address
83 FULTON AVE, MASTIC, NY 11950-2216
(631) 513-2873
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326953-1
NY
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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