MEDICARE: NANCY TAPIA

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
1	252Y00000X	Early Intervention Provider Agency	2653597	NY

General Provider Information

NPI Number	:	1861188989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY TAPIA

Provider Business Mailing Address
First Line	:	6725 DARTMOUTH ST APT 5K
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4027
Country	:	US
Telephone Number	:	347-397-6037
Fax Number	:

Provider Business Practice Location Address
First Line	:	6725 DARTMOUTH ST APT 5K
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4027
Country	:	US
Telephone Number	:	347-397-6037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	04/12/2023

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Directions to “ NANCY TAPIA ” Practice Location

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