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NPI Code Detail

MEDICARE: TONIANNE MOTTA FNP-BC

MEDICARE: TONIANNE MOTTA FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner086163-23NH
2363LF0000XFamily Nurse Practitioner341989NY

General Provider Information

NPI Number : 1386165223
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONIANNE MOTTA FNP-BC
Provider Business Mailing Address
First Line : 75 MORGAN WAY
Second Line :
City : PORT JERVIS
State : NY
Zip : 12771-3652
Country : US
Telephone Number : 845-545-9095
Fax Number :
Provider Business Practice Location Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-3370
Fax Number : 845-333-3372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 03/05/2026

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Directions to “ TONIANNE MOTTA FNP-BC” Practice Location

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