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Kristine Tavantzis, BA
Student in an Organized Health Care Education/Training Program in Smithtown, New York
NPI 1356808877

Kristine Tavantzis is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Kristine Tavantzis practices in Smithtown, NY and has the professional credentials of BA. The NPI Number for Kristine Tavantzis is 1356808877 and holds a License No. (New York).

The current practice location address for Kristine Tavantzis is 11 Route 111, Smithtown, NY and can be reached out via phone at 631-384-9626.

Location: 11 Route 111, Smithtown, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356808877
Provider Name
Kristine Tavantzis
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
11 Route 111, Smithtown, NY, 11351-3000
Phone Number
631-384-9626
Fax Number
Provider Enumeration Date
02/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3754
Phone Number
631-384-9626
Fax Number
person
Provider Business Mailing Address Details
Address
11 Route 111
City
Smithtown
State
New York
Zip
11787-3754
Phone Number
631-384-9626
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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