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Kethline Jean Dacisse
Gerontology Registered Nurse in Hempstead, New York
NPI 1225615685

Kethline Jean Dacisse is a Gerontology Registered Nurse based in Freeport, NY and is specialized in Gerontology. Kethline Jean Dacisse practices in Hempstead, NY. The NPI Number for Kethline Jean Dacisse is 1225615685 and holds a License No. 481694 (New York).

The current practice location address for Kethline Jean Dacisse is 800 Front St, Hempstead, NY and can be reached out via phone at 516-705-9700.

Location: 800 Front St, Hempstead, NY, 11520-4920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225615685
Provider Name
Kethline Jean Dacisse
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Front St, Hempstead, NY, 11520-4920
Phone Number
516-705-9700
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Front St
City
Hempstead
State
New York
Zip
11550-4600
Phone Number
516-705-9700
Fax Number
person
Provider Business Mailing Address Details
Address
800 Front St
City
Hempstead
State
New York
Zip
11550-4600
Phone Number
516-705-9700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
163WG0600X
License No.
481694 (New York)
Definition
Definition to come...
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