Tara Lin Bender-Didomenico, LPN
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1104518927
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1104518927
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tara Lin Bender-Didomenico
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2023
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 321914 | NY | Yes |
Other names
- Tara Lin Bender (Former Name)
Practice location
1617 Tomlinson AveBronx, NY 10461-1528
Phone 646-763-2949
Mailing address
1617 Tomlinson AveBronx, NY 10461-1528
Phone 646-763-2949
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