Tamica Balay, TSHH-BA
Individual provider Active NPI Developmental Therapist · Westbury, NY
NPI 1104124320 · NPPES record last updated Mar 11, 2011
Key facts
- NPI
- 1104124320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 18017 (NY)
- Practice address
- 2591 Park St.
Westbury, NY 11590 - Phone
- (347) 924-6212
- NPI assigned
- Mar 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18017 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 18017 | NY | Yes |
Addresses
Primary practice location
2591 Park St.
Westbury, NY 11590
Mailing address
2591 Park St.
Westbury, NY 11590
Phone (347) 924-6212
Other providers in Westbury, NY
- Loree' Caitlin Bailey
- Margaret Juliet Bailey
- Mary Ellen Baker
- Saudia Baksh
- Cynthia Balasanmugam
- Timoteo Gabriel Baltazar
- Ivylin Banks
- Vilma Barber
- Skyler Gabrielle Barcia
- Marlene Barnett
All providers in Westbury, NY · Developmental Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.