Elyse Patricia Haddock, LPN

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

317281 Issued in NY

Practice address

32 Charles St
Lynbrook, NY 11563-2702

Phone

(347) 993-1133

NPI assigned

Feb 4, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1457775991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHARLES ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632702",
            "telephone_number": "347-993-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHARLES ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632702",
            "telephone_number": "347-993-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "ELYSE",
        "middle_name": "PATRICIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "317281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Grismer, CCC-SLP
• Lawrence Robert Grosswirth, D.C.
• Nicole Andrea Guerrero, LMSW
• Nancy Dieudonne Gustave
• Nicole Blake Guttman, M.A. SLP
• Willow Hammer, L. AC.
• Elizabeth Mina Han
• Eric J. Hanauer, MD
• Hands on Health Physical Therapy PC
• Hanger Prosthetics & Orthotics East Inc

• Nursing Facility/Intermediate Care Facility in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.