Individual provider · Type 1 NPI

Wilfremie M. Wong-Tarley, RN, PTA

Registered Nurse · Staten Island, NY

NPI number 1073160107 Active

Practice location

1107 Father Capodanno Blvd
Staten Island, NY 10306-6059

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant	225200000X	008680 (NY)
Registered Nurse Primary	163W00000X	740216 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073160107

Wilfremie M. Wong-Tarley, RN, PTA's National Provider Identifier is 1073160107, issued on Aug 22, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 22, 2019.