| Justin M Harley, LPN | |
|
20 Jerusalem Ave, Third Floor, Hicksville, NY 11801-4980 | |
| (631) 481-5160 | |
| Not Available |
| Full Name | Justin M Harley |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 20 Jerusalem Ave, Hicksville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124399852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 306241-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin M Harley, LPN 20 Jerusalem Ave, Third Floor, Hicksville, NY 11801-4980 Ph: () - | Justin M Harley, LPN 20 Jerusalem Ave, Third Floor, Hicksville, NY 11801-4980 Ph: (631) 481-5160 |
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