Individual
CHARLLOY TELESFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 CLINTON ST, 601, HEMPSTEAD, NY 11550-4281
(516) 493-9063
Mailing address
50 CLINTON ST, 601, HEMPSTEAD, NY 11550-4281
(516) 493-9063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317002-1
NY
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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