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Katelin Tambasco
Family Nurse Practitioner in Smithtown, New York
NPI 1134752355

Katelin Tambasco is a Family Nurse Practitioner based in East Islip, NY and is specialized in Family. Katelin Tambasco practices in Smithtown, NY. The NPI Number for Katelin Tambasco is 1134752355 and holds a License No. 345540 (New York).

The current practice location address for Katelin Tambasco is 260 E Middle Country Rd, Smithtown, NY and can be reached out via phone at 631-863-3223.

Location: 260 E Middle Country Rd, Smithtown, NY, 11730-3208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134752355
Provider Name
Katelin Tambasco
Credential
Provider Entity Type
Individual
Gender
Female
Address
260 E Middle Country Rd, Smithtown, NY, 11730-3208
Phone Number
631-863-3223
Fax Number
Provider Enumeration Date
02/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
260 E Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2982
Phone Number
631-863-3223
Fax Number
person
Provider Business Mailing Address Details
Address
260 E Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2982
Phone Number
631-863-3223
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
345540 (New York)
Definition
Definition to come...
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