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Contact Information

BETTY J TUCKER, RN
46 UTZ ST
FREEPORT, NY11520
 Phone: 516-208-3524
 Fax: 516-208-3524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BETTY J TUCKER · (Female)

NPI # 1144405499
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/07/2008
Last updated 01/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 290418
  • NY Medicaid 02263207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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