Tamika Bent

Individual provider Active NPI Licensed Practical Nurse · Uniondale, NY

NPI 1487198784 · NPPES record last updated Dec 6, 2016

Key facts

NPI
1487198784
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
318602 (NY)
Practice address
524 Southern Pkwy
Uniondale, NY 11553-2817
Phone
(516) 476-2265
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
318602NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 318602 NY Yes

Addresses

Primary practice location

524 Southern Pkwy
Uniondale, NY 11553-2817

Mailing address

524 Southern Pkwy
Uniondale, NY 11553-2817

Other providers in Uniondale, NY

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

Sources for this page

Verify at the official NPI Registry.