Doctor Name: | MRS. MARYBETH TONKERY |
NPI Number: | 1538442116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 505481 |
Business Practice Address: | 8528 Main St Honeoye, NY - 144719637 |
Business Phone Number: | 5852295171 |
Business Fax Number: | 5852295160 |
Mailing Address: | 131 Longview Blvd, LIVONIA |
State: | NY |
Postal Code: | 144879773 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 505481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |