Individual
IRENE HYPPOLITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 S 25TH ST, WYANDANCH, NY 11798-2904
(631) 643-1186
Mailing address
63 S 25TH ST, WYANDANCH, NY 11798-2904
(631) 643-1186
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
293774-1
NY
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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