Individual provider · Type 1 NPI

Tessa Rais Van Florcke

Student in an Organized Health Care Education/Training Program · Brentwood, NY

NPI number 1346612488 Active

Practice location

1841 Brentwood Rd
Brentwood, NY 11717-4625

Call (631) 853-4845 Map

Mailing address

202 N Dunton Ave
East Patchogue, NY 11772-5561

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346612488

Tessa Rais Van Florcke's National Provider Identifier is 1346612488, issued on Oct 28, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brentwood, NY. The record was last updated on Oct 28, 2015.