Yanette Leticia Tactuk LMSW

NPI 1205104221 - Social Worker - 104100000X

NPI Details
NPI 1205104221
Gender Female
Enumeration Date 12/05/2011
Last Updated 12/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
16 EAST 98TH STREET
1B
NEW YORK NY, 10029, US
Phone (212) 987-3063
Fax
Business Location
1468 MADISON AVENUE
BOX 1430
NEW YORK NY, 10029, US
Phone (212) 987-3063
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 084146-1
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According to our database, Ms. Yanette Leticia Tactuk LMSW NPI is 1205104221, taxonomy code is 104100000X and license number is 084146-1, license state is located at New York. Yanette Leticia Tactuk LMSW physically located at 16 East 98th Street, New York NY, 10029. NPI Number Yanette Leticia Tactuk LMSW has the Individual type.

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1205104221 NPI number is provided on an as is basis without warranty of any kind. 1205104221 is maintained by the National Plan & Provider Enumeration System. The contents of Yanette Leticia Tactuk LMSW are for informational purposes only.