Esther Tackie, LPN
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1407008014
StatusActive
Last updated in NPPESOct 14, 2008
Details
- NPI
- 1407008014
- Entity type
- Individual (NPI-1)
- Name
- Esther Tackie
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2008
- Last updated
- Oct 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 240897 | NY | Yes |
Practice location
3012 Bainbridge AveBronx, NY 10458-1707
Phone 718-933-9034 · Fax 718-933-9034
Mailing address
3012 Bainbridge AveBronx, NY 10458-1707
Phone 718-933-9034 · Fax 718-933-9034
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