CLARA VELMA HAYLOCK (NPI# 1376052555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376052555 |
| Entity Type | Individual |
| Full Name | CLARA VELMA HAYLOCK |
| Practice Address |
4528 40th Ave 2r Sunnyside NY 11104 |
| Mailing Address |
4528 40th St Sunnyside NY 11104-3942 |
| Practice Telephone | (347) 417-1245 |
| Mailing Telephone | 3474171245 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 329438 | NY | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4528 40th Ave, 2r, Sunnyside, NY 11104 | (347) 417-1245 |
| Street Address |
4528 40TH AVE 2R |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1336603489 | City Medical of Upper East Side, Pllc | Clinic/Center | 47-24 Queens Blvd, Sunnyside, NY 11104 | 2019-01-23 |
| 1972012201 | Matthew Koziolek | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 | 2017-09-29 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| 1558648162 | Mahbub Zaman Khundkar | Pharmacist | 4504 Greenpoint Avenue, Sunnyside, NY 11104 | 2011-11-10 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538703731 | Mary K Caulfield Davis | Licensed Practical Nurse | 5101 39th Ave Apt A43, Sunnyside, NY 11104-1107 | 2019-10-30 |
| 1346366754 | Albert Guidice | Licensed Practical Nurse | 4308 41st St, 5e, Sunnyside, NY 11104-3349 | 2007-03-21 |
| 1811494149 | Maria Oseguera | Licensed Practical Nurse | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2018-04-12 |
| 1306900543 | Mildred J. Beard | Licensed Practical Nurse | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2006-12-21 |
| 1548331663 | Katie Lies | Licensed Practical Nurse | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.