Tamara Lynn Hectus

Individual provider Active NPI Licensed Practical Nurse · Frankfort, NY

NPI 1235579236 · NPPES record last updated Jul 5, 2013

Key facts

NPI
1235579236
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
307018 (NY)
Practice address
301 3Rd Ave
Frankfort, NY 13340-1421
Phone
(315) 868-3554
NPI assigned
Jul 5, 2013
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 307018 NY Yes

Addresses

Primary practice location

301 3Rd Ave
Frankfort, NY 13340-1421

Mailing address

301 3Rd Ave
Frankfort, NY 13340-1421
Phone (315) 868-3554

Other providers in Frankfort, NY

All providers in Frankfort, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.