JULIE I TAVARES NPI 1609432301

NPI Information

NPI: 1609432301
Provider Name: JULIE I TAVARES
Classification: Respite Care - 385H00000X
Entity Type: Individual
Address:
42 ASHTON RD
MEDFORD, NY
ZIP 11763
Phone: (631) 334-3520
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Julie I Tavares is a respite care in Medford, NY. Julie I Tavares NPI is 1609432301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

42 ASHTON RD
MEDFORD, NY
ZIP 11763-002
Phone: (631) 334-3520

The enumeration date for this NPI number is 5/17/2019 and was last updated on 5/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376J00000X	Homemaker				No
2	385H00000X	Respite Care				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81-1025305	MEDICAID	NEW YORK
2	81-1025305	OTHER	NEW YORK	SOLE PROP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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