| NPI | 1841380748 |
|---|---|
| Other Name | THERESA ROSTKOWSKI TANZIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 029620) |
| 152W00000X Optometrist (Licence: MA 3610) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-03-05 |