Tavares, Julie I

Tavares, Julie I is an sole proprietor health care provider with primary practice located at 42 Ashton Rd , Medford NY 11763-1002. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is her primary health care specialty. Tavares, Julie I can be contacted via phone (631) 334-3520.

Contact Information

Primary practice address
42 Ashton Rd Medford NY 11763-1002
Phone: (631) 334-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1609432301
LBN Legal business name Tavares, Julie I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2019
Last updated May 17th, 2019 - about 7 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 1609432301 NPPES
New York MEDICAID 81-1025305
New York Other 81-1025305

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