KRISTEN TAVOULARIS
NPI 1972921245
Specialist in Valley Stream, NY
- Individual
- Female
- Specialist
About KRISTEN TAVOULARIS
This page provides the complete NPI Profile along with additional information for Kristen Tavoularis, a provider established in Valley Stream, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1972921245 assigned on April 2014. The practitioner's primary taxonomy code is 174400000X with license number 1202878 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1972921245 Verify this NPI
- Provider Name
- KRISTEN TAVOULARIS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 36 EDGEWORTH ST VALLEY STREAM, NY 11581
- Location Phone
- (516) 295-2373
- Mailing Address
- 36 EDGEWORTH ST VALLEY STREAM, NY 11581
- Mailing Phone
- (516) 295-2373
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2014
- Last Update Date
- 04-02-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 1202878
- License State
- NY
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972921245, enumerated as an "individual" on April 02, 2014.
The provider is located at 36 EDGEWORTH ST VALLEY STREAM, NY 11581 and the phone number is (516) 295-2373.
Specialist with taxonomy code 174400000X.
