Tammy M Flaherty
Individual provider Active NPI Licensed Practical Nurse · Herkimer, NY
NPI 1932419785 · NPPES record last updated Oct 18, 2010
Key facts
- NPI
- 1932419785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 621502-1 (NY)
- Practice address
- 703 Middleville Rd RT 28
Herkimer, NY 13350-0107 - Phone
- (315) 866-7932
- Fax
- (315) 866-1814
- NPI assigned
- Oct 14, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 621502-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 621502-1 | NY | Yes |
Addresses
Primary practice location
703 Middleville Rd RT 28
Herkimer, NY 13350-0107
Mailing address
PO Box 107
Herkimer, NY 13350-0107
Phone (315) 866-7932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01223385 | Medicaid | NY |
Other providers in Herkimer, NY
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- James Ferreira
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- Foltscare LLC
- Foltscare LLC
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- Ariel M. Foti
All providers in Herkimer, NY · Licensed Practical Nurse 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 Oct 18, 2010. 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.