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Tanjalyn Black
Student in an Organized Health Care Education/Training Program in Hauppauge, New York
NPI 1568163111

Tanjalyn Black is a Student in an Organized Health Care Education/Training Program based in Saint James, NY. Tanjalyn Black practices in Hauppauge, NY. The NPI Number for Tanjalyn Black is 1568163111 and holds a License No. (New York).

The current practice location address for Tanjalyn Black is 90 Adams Ave, Hauppauge, NY and can be reached out via phone at 631-952-3333.

Location: 90 Adams Ave, Hauppauge, NY, 11780-0754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568163111
Provider Name
Tanjalyn Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Adams Ave, Hauppauge, NY, 11780-0754
Phone Number
631-952-3333
Fax Number
Provider Enumeration Date
03/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Adams Ave
City
Hauppauge
State
New York
Zip
11788-3631
Phone Number
631-952-3333
Fax Number
person
Provider Business Mailing Address Details
Address
90 Adams Ave
City
Hauppauge
State
New York
Zip
11788-3631
Phone Number
631-952-3333
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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