MS. Angela R Tassa, LPN
NPI #1801170790 in Mastic Beach, New York
Provider Information
- NPI Number
- 1801170790
- Entity Type
- Individual
- Name
- MS. Angela R Tassa, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 11, 2011
- Last Updated
- Oct 11, 2011
Practice Location
- Address
- 74 MILL DR
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1403
- Phone
- (631) 657-6038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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