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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THADDEUS HAIRSTON

Active Sole Proprietor

Licensed Practical Nurse · LIVERPOOL, NY

Registration Details

NPI Number
1356756019
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2014 (11.87672990655 yrs)
Last Updated
Jun 21, 2014
License
251862-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1015 7TH NORTH ST APT A2
LIVERPOOL, NY, 130886138
Browse NY providers · Browse ZIP 13088
Phone
3154918814
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LIVERPOOL, NY

Name Credential NPI
LISA MARIE NOTARO L.P.N 1184798738
MRS. MICHAELA ANN LOUISE DE LA CRUZ LPN 1972667814
STACY OGLESBY 1003943820
ELIZABETH M DOYLE LPN 1568590354
MRS. SNIGDHA SAHA LPN 1790818987
BARBARA ERIVES 1235252420
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.