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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINASIA ADA INGRAM

Active Sole Proprietor

TINASIA ADA INGRAM is a Licensed Practical Nurse healthcare provider located in CENTRAL ISLIP, New York. NPI 1720429616 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CENTRAL ISLIP, NY

Registration Details

NPI Number
1720429616
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2013 (13.101161034406 yrs)
Last Updated
Jul 9, 2013
License
314802 (NY)
Sole Proprietor
Yes

Practice Information

Address
113 APPLEGATE DR
CENTRAL ISLIP, NY, 117221925
Browse NY providers · Browse ZIP 11722
Phone
6317427338
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CENTRAL ISLIP, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.