SearchNew York164W00000X

Michael Tax, LPN

NPI 1790244317 · on the registry since 2019 · sole proprietor

Practice

Address
125 Oakland Ave Ste 204
Port Jefferson, NY 11777
Phone
(631) 686-1414
Fax
(631) 686-1462
Organisation at this address
Mather Primary Care, Pllc
Family Medical Wellness Pc
Harbor View Medical Services Pc
Harbor View Medical Services Pc
North Shore Endodontic Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-13

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