Individual provider · NPI-1

Tamica Latoya Ali

Nurse Practitioner, Family · Syracuse, NY

NPI number1063240208
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1063240208
Entity type
Individual (NPI-1)
Name
Tamica Latoya Ali
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2024
Certification date
Sep 2, 2026
Last updated
Sep 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF355466NYYes

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Phone 315-448-5881

Mailing address

301 Prospect Ave
Syracuse, NY 13203-1807

Phone 315-448-5881

Other practice locations

819 S Salina St
Syracuse, NY 13202-3570

Phone 315-476-7921

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