Tatsapaugh, Gloria Jeane

Tatsapaugh, Gloria Jeane is an individual health care provider with primary practice located at 3174 Route 22 Hudson River Healthcare, Inc., Dover Plains NY 12522-5924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Tatsapaugh, Gloria Jeane can be contacted via phone (845) 877-4793.

Contact Information

Primary practice address
3174 Route 22 Hudson River Healthcare, Inc. Dover Plains NY 12522-5924
Phone: (845) 877-4793
Fax: (845) 877-9212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 302509 New York

Profile Details

NPI number 1063504934
LBN Legal business name Tatsapaugh, Gloria Jeane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063504934 NPPES
New York MEDICAID 00473038
New York MEDICAID 02328870

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