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NPI Code Detail

MEDICARE: TANIA JENKINS

MEDICARE:   TANIA  JENKINS
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
1101Y00000XCounselorNY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528612710
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA JENKINS
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-306-7873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2019
Last Update Date : 06/15/2026

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Directions to “ TANIA JENKINS ” Practice Location

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