Dorothy Janice Tambasco LPN

NPI 1114249414 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114249414
Gender Female
Enumeration Date 02/28/2010
Last Updated 02/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
18 ALPINE ST
PORT JEFFERSON STATION NY, 11776-3330, US
Phone (631) 704-5923
Fax
Business Location
18 ALPINE ST
PORT JEFFERSON STATION NY, 11776-3330, US
Phone (631) 704-5923
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 273932-1
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According to our database, Dorothy Janice Tambasco LPN NPI is 1114249414, taxonomy code is 164W00000X and license number is 273932-1, license state is located at New York. Dorothy Janice Tambasco LPN physically located at 18 Alpine St, Port Jefferson Station NY, 11776-3330. NPI Number Dorothy Janice Tambasco LPN has the Individual type.

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1114249414 NPI number is provided on an as is basis without warranty of any kind. 1114249414 is maintained by the National Plan & Provider Enumeration System. The contents of Dorothy Janice Tambasco LPN are for informational purposes only.