Individual
MISS CARLEEN ELIZABETH HALSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 BARKER RD, CENTRAL SQUARE, NY 13036-3422
(315) 329-1758
Mailing address
84 BARKER RD, CENTRAL SQUARE, NY 13036-3422
(315) 676-7898
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272071-1
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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