Provider Demographics
NPI:1043577745
Name:HINDY-BRETEY, ELAINE (LPN)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:HINDY-BRETEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CLUB LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3502
Mailing Address - Country:US
Mailing Address - Phone:516-735-3270
Mailing Address - Fax:
Practice Address - Street 1:2116 MERRICK AVE
Practice Address - Street 2:SUITE 2002
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3445
Practice Address - Country:US
Practice Address - Phone:516-867-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2019271164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse