Tammy Marie Snyder, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Ticonderoga, NY

NPI 1710146683 · NPPES record last updated Jun 5, 2008

Key facts

NPI
1710146683
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
289934-1 (NY)
Practice address
13 3Rd Ave
Ticonderoga, NY 12883-1012
Phone
(518) 585-2344
NPI assigned
Jun 5, 2008
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

LicenseStateTypeSpecialty
289934-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 289934-1 NY Yes

Addresses

Primary practice location

13 3Rd Ave
Ticonderoga, NY 12883-1012

Mailing address

13 3Rd Ave
Ticonderoga, NY 12883-1012
Phone (518) 585-2344

Other providers in Ticonderoga, NY

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

Sources for this page

Verify at the official NPI Registry.