Tammy Nethercott
Individual provider Active NPI Early Intervention Provider Agency · Amenia, NY
NPI 1295574085 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1295574085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 109 Mygatt Rd
Amenia, NY 12501-5300 - Phone
- (914) 391-2603
- NPI assigned
- May 21, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
109 Mygatt Rd
Amenia, NY 12501-5300
Mailing address
109 Mygatt Rd
Amenia, NY 12501-5300
Phone (914) 391-2603
Other providers in Amenia, NY
- Stefanie J. Lindahl
- Louise Lindenmeyr
- Kathryn Martyniak
- Janice Russo McSpiritt
- Maryalyce Merritt
- Northeast CSD
- Lori Passante
- Planned Parenthood of the Mid-Hudson Valley
- Stacey Joy Reilly
- Christine Mary Sergent
All providers in Amenia, NY · Early Intervention Provider Agency 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 May 21, 2024. 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.