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Gardenia Taza
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1538856117

Gardenia Taza is a Student in an Organized Health Care Education/Training Program based in Mineola, NY. Gardenia Taza practices in Mineola, NY. The NPI Number for Gardenia Taza is 1538856117 and holds a License No. (New York).

The current practice location address for Gardenia Taza is 222 Station Plz N Ste 509, Mineola, NY and can be reached out via phone at 516-663-2381.

Location: 222 Station Plz N Ste 509, Mineola, NY, 11501-3893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538856117
Provider Name
Gardenia Taza
Credential
Provider Entity Type
Individual
Gender
Female
Address
222 Station Plz N Ste 509, Mineola, NY, 11501-3893
Phone Number
516-663-2381
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Station Plz N Ste 509
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-2381
Fax Number
person
Provider Business Mailing Address Details
Address
222 Station Plz N Ste 509
City
Mineola
State
New York
Zip
11501-3893
Phone Number
516-663-2381
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.
()
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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