Individual provider · Type 1 NPI

Dorothy Janice Tambasco, LPN

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1114249414 Active

Practice location

18 Alpine St
Port Jefferson Station, NY 11776-3330

Call (631) 704-5923 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X273932-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114249414

Dorothy Janice Tambasco, LPN's National Provider Identifier is 1114249414, issued on Feb 28, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 28, 2010.