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

JUDY TACK

Active Sole Proprietor

JUDY TACK is a Registered Nurse healthcare provider located in BALDWINSVILLE, New York. NPI 1962712430 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · BALDWINSVILLE, NY

Registration Details

NPI Number
1962712430
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2010 (15.641024225582 yrs)
Last Updated
Oct 18, 2010
License
399291 (NY)
Sole Proprietor
Yes

Practice Information

Address
222 DEERWOOD DR
BALDWINSVILLE, NY, 130273145
Browse NY providers · Browse ZIP 13027
Phone
3156386126
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in BALDWINSVILLE, NY

Name Credential NPI
NANCY ANN LOIA RN 1811053226
STUART PATRICK LEDWITH RN 1790816726
MRS. KIMBERLY MARIE FALTYN RN 1508069964
LISA MARIE CORNELL RN 1053590083
MRS. KATHLEEN ANN HONSINGER 1518278548
MRS. AMY S SHAW RN 1538463328
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.