Individual
ELIZABETH MARIE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 JOYS LN STE 2, KINGSTON, NY 12401-3705
(845) 489-0509
Mailing address
17 WHITE OAKS RD, HYDE PARK, NY 12538-1626
(845) 489-0509
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
447545
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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