Individual provider · Type 1 NPI
Tanima Yaibuathes, NP
Adult Health Nurse Practitioner · Commack, NY
NPI number
1669768255
Active
Practice location
149 Commack Rd Ste A
Commack, NY 11725-3459
Mailing address
25 Hillberry Ln
Holbrook, NY 11741-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305522-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1669768255
Tanima Yaibuathes, NP's National Provider Identifier is 1669768255, issued on Jun 22, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Commack, NY. The record was last updated on Jun 22, 2011.