Individual provider · Type 1 NPI

Tammie Kienzle

Specialist · East Setauket, NY

NPI number 1013664911 Active

Practice location

14 Research Way
East Setauket, NY 11733-3453

Call (631) 331-6400 Map

Mailing address

26 Westmoylan Ln
Coram, NY 11727-1121

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013664911

Tammie Kienzle's National Provider Identifier is 1013664911, issued on Mar 10, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Setauket, NY. The record was last updated on Mar 10, 2022.