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Martha Alexandra Tatis
Family Nurse Practitioner in New Hyde Park, New York
NPI 1215572375

Martha Alexandra Tatis is a Family Nurse Practitioner based in New Hyde Park, NY and is specialized in Family. Martha Alexandra Tatis practices in New Hyde Park, NY. The NPI Number for Martha Alexandra Tatis is 1215572375 and holds a License No. F344521-01 (New York).

The current practice location address for Martha Alexandra Tatis is 430 Lakeville Rd, New Hyde Park, NY and can be reached out via phone at 718-470-7550.

Location: 430 Lakeville Rd, New Hyde Park, NY, 11042-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215572375
Provider Name
Martha Alexandra Tatis
Credential
Provider Entity Type
Individual
Gender
Female
Address
430 Lakeville Rd, New Hyde Park, NY, 11042-1121
Phone Number
718-470-7550
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1121
Phone Number
718-470-7550
Fax Number
person
Provider Business Mailing Address Details
Address
430 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1121
Phone Number
718-470-7550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F344521-01 (New York)
Definition
Definition to come...
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