Carolyn Renee Tavares in Ithaca - General Practice
Carolyn Renee Tavares - NPI 1922216258
Carolyn Renee Tavares is a General Practice in Ithaca, New York. Carolyn Renee Tavares practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carolyn Renee Tavares is 1922216258. The last update date is 2007-07-08.
Carolyn Renee Tavares's current location address is 2192 Mecklenburg Rd, Ithaca, New York. You can contact this provider via phone number 6072563617. The mailing address for Carolyn Renee Tavares is 2192 Mecklenburg Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Renee Tavares |
|---|---|
| Address | 2192 Mecklenburg Rd, Ithaca, New York |
| Phone Number | 6072563617 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1922216258 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2192 Mecklenburg Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148509322 |
| Phone Number | 6072563617 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | 363370-1 |
|
Definition: A registered nurse who provides general nursing care across health settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1987508 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carolyn Renee Tavares by the Centers for Medicare & Medicaid Services?
The Carolyn Renee Tavares has been issued the NPI (National Provider Identifier) 1922216258. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carolyn Renee Tavares's facilities are geographically located?
The facilities of Carolyn Renee Tavares are physically situated at the following location: 2192 Mecklenburg Rd, Ithaca, NY, 148509322.
What is Carolyn Renee Tavares's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carolyn Renee Tavares is General Practice, and the taxonomy classification code that categorizes this area of expertise is 163Wg0000X.
On what date did the Carolyn Renee Tavares receive its 1922216258 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Renee Tavares was assigned its 1922216258 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the Carolyn Renee Tavares's information last updated?
The Carolyn Renee Tavares's information was last updated on 2007-07-08.