NPI Profile for TAMAR Y DEVALLON in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI # | 1649614140 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/26/2013 | |
| Last updated | 11/24/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAMAR Y DEVALLON
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