Individual
MARY ELLEN HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
888 VETERANS MEMORIAL HWY, HAUPPAUGE, NY 11788-2950
(631) 232-6030
Mailing address
8 HILL LN, SMITHTOWN, NY 11787-2504
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
38885-1
NY
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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