Tanya Adams-Tlockowski, M.A. (Education)
Specialist in Coram, NY. Individual provider (NPI-1).
NPI number1801167390
StatusActive
Last updated in NPPESJan 16, 2012
Details
- NPI
- 1801167390
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tanya Adams-Tlockowski
- Credential
- M.A. (Education)
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2012
- Last updated
- Jan 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 91789 | NY | Yes |
Practice location
88 Mount Sinai Coram RdCoram, NY 11727-2426
Phone 631-736-2537
Mailing address
88 Mount Sinai Coram RdCoram, NY 11727-2426
Phone 631-736-2537
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