Tammy Lisa Smith PTA

NPI 1053613059 - Clinic/Center - 261QP2000X

NPI Details
NPI 1053613059
Gender Female
Enumeration Date 11/23/2010
Last Updated 11/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
58 LOCKE DR
BINGHAMTON NY, 13903-2328, US
Phone (607) 772-7670
Fax
Business Location
58 LOCKE DR
BINGHAMTON NY, 13903-2328, US
Phone (607) 772-7670
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State New York
License Number 6514794
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According to our database, Mrs. Tammy Lisa Smith PTA NPI is 1053613059, taxonomy code is 261QP2000X and license number is 6514794, license state is located at New York. Tammy Lisa Smith PTA physically located at 58 Locke Dr, Binghamton NY, 13903-2328. NPI Number Tammy Lisa Smith PTA has the Individual type.

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1053613059 NPI number is provided on an as is basis without warranty of any kind. 1053613059 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Lisa Smith PTA are for informational purposes only.