Provider Demographics
NPI:1215247192
Name:GAFFNEY, LAUREEN JUDITH (RN)
Entity type:Individual
Prefix:
First Name:LAUREEN
Middle Name:JUDITH
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-5619
Mailing Address - Country:US
Mailing Address - Phone:845-334-8604
Mailing Address - Fax:
Practice Address - Street 1:248 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:NY
Practice Address - Zip Code:12443-5619
Practice Address - Country:US
Practice Address - Phone:845-334-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY577193-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health