Tami Coleen Fetzer in Smithtown - Pediatrics

Tami Coleen Fetzer - NPI 1740441328

Tami Coleen Fetzer is a Pediatrics in Smithtown, New York. Tami Coleen Fetzer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tami Coleen Fetzer is 1740441328. The last update date is 2008-06-17.

Tami Coleen Fetzer's current location address is 120 Ledgewood Dr, Smithtown, New York. You can contact this provider via phone number 6318649180. The mailing address for Tami Coleen Fetzer is 120 Ledgewood Dr, Smithtown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tami Coleen Fetzer
Address 120 Ledgewood Dr, Smithtown, New York
Phone Number 6318649180
Fax Number
Sole Proprietor Y
Credentials PNP

NPI Number Detail

NPI Number 1740441328
Provider Enumeration Date 2008-06-17
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 120 Ledgewood Dr
City Smithtown
State New York (NY)
Post Code 117874221
Phone Number 6318649180
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No F381273-1
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Tami Coleen Fetzer

What is the unique 10-digit identification code assigned to Tami Coleen Fetzer by the Centers for Medicare & Medicaid Services?

The Tami Coleen Fetzer has been issued the NPI (National Provider Identifier) 1740441328, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tami Coleen Fetzer is physically located?

The Tami Coleen Fetzer is situated at the following address: 120 Ledgewood Dr, Smithtown, NY 117874221.

What is the Tami Coleen Fetzer's area of specialization and corresponding taxonomy classification?

The Tami Coleen Fetzer's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date was the 1740441328 assigned to Tami Coleen Fetzer?

The Tami Coleen Fetzer was issued its 1740441328 on 2008-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Tami Coleen Fetzer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tami Coleen Fetzer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.

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