Ty Smith Nurse Practitioner Adult

LBN: Ty Smith Nurse Practitioner Adult
Ty Smith Nurse Practitioner Adult is an health care organization with primary practice located at 76 S Central Ave Ste 1A , Valley Stream NY 11580-5405. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Ty Smith Nurse Practitioner Adult can be contacted via phone (516) 770-6102, or through Smith, Tamara Y via phone (516) 284-7521.

Contact Information

Primary practice address
76 S Central Ave Ste 1A Valley Stream NY 11580-5405
Phone: (516) 770-6102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tamara Y
Phone: (516) 284-7521

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1912788613
LBN Legal business name Ty Smith Nurse Practitioner Adult
DBA Doing business as
Authorized official Smith, Tamara Y
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2023
Last updated Jan 27th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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