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

ANTONETTE TIAM

Active Sole Proprietor

ANTONETTE TIAM is a Registered Nurse healthcare provider located in VALLEY STREAM, New York. NPI 1730732991 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · VALLEY STREAM, NY

Registration Details

NPI Number
1730732991
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2019 (6.89258727432 yrs)
Last Updated
Jul 17, 2019
License
767586 (NY)
Sole Proprietor
Yes

Practice Information

Address
89 EDGEWORTH ST
VALLEY STREAM, NY, 115813235
Browse NY providers · Browse ZIP 11581
Phone
5168155321
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in VALLEY STREAM, 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.