SearchNew York164W00000X

Tatye Jacques

NPI 1760714356 · on the registry since 2010 · sole proprietor

Practice

Address
10 106th Ave
Elmont, NY 11003
Phone
(917) 378-1194

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York