Doctor Name: | DIANE J TUFARO |
NPI Number: | 1083838718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F-300550 |
Business Practice Address: | 211 Cornwall Meadows Lane Patterson, NY - 125632652 |
Business Phone Number: | 9144931268 |
Business Fax Number: | |
Mailing Address: | 211 Cornwall Meadows Ln, PATTERSON |
State: | NY |
Postal Code: | 125632652 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F-300550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |