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Tania Lacerda-Fisher

Registered Nurse in Bohemia, NY. Individual provider (NPI-1).

NPI number1487985693
StatusActive
Last updated in NPPESJan 28, 2010

Details

NPI
1487985693
Entity type
Individual (NPI-1)
Name
Tania Lacerda-Fisher
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 28, 2010
Last updated
Jan 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse625530-1NYYes

Practice location

51 Island Blvd Apt D
Bohemia, NY 11716-4929

Phone 631-750-5019

Mailing address

51 Island Blvd Apt D
Bohemia, NY 11716-4929

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