Linda Kovac-Tantalo, NURSE PRACTITIONER
NPI #1013144534 in Farmington, New York
Provider Information
- NPI Number
- 1013144534
- Entity Type
- Individual
- Name
- Linda Kovac-Tantalo, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jun 11, 2009
- Last Updated
- May 18, 2022
Practice Location
- Address
- 1386 HATHAWAY DR
- City
- Farmington
- State
- New York
- ZIP Code
- 14425-8973
- Phone
- (585) 396-4190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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