Doctor Name: | TANYA HARRIOTT |
NPI Number: | 1013363811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 625677 |
Business Practice Address: | 10514 134th St South Richmond Hill, NY - 114193210 |
Business Phone Number: | 3475930498 |
Business Fax Number: | |
Mailing Address: | 10514 134th St, SOUTH RICHMOND HILL |
State: | NY |
Postal Code: | 114193210 |
Phone Number: | 3475930498 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 625677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |