Healthcare Provider Details

I. General information

NPI: 1265086334
Provider Name (Legal Business Name): THOMAS VENCE SAGLIMBENI NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2019
Last Update Date: 07/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 W 14TH ST FL 5
NEW YORK NY
10014-5002
US

IV. Provider business mailing address

70 PARK TER W APT E82
NEW YORK NY
10034-1348
US

V. Phone/Fax

Practice location:
  • Phone: 212-620-0144
  • Fax: 212-691-8588
Mailing address:
  • Phone: 631-379-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: THOMAS VENCE SAGLIMBENI
Title or Position: OWNER
Credential: NP
Phone: 631-379-2229