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1134752355
KATELIN TAMBASCO
SMITHTOWN, NY
NPI
1134752355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345540)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
KATELIN TAMBASCO
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787-2982
Phone number: 631-863-3223
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Mailing Address
KATELIN TAMBASCO
42 QUINTUCK LN
EAST ISLIP, NY 11730-3208
Phone number: 516-426-8714
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