MEDICARE: TAMARA ZULMA

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	164W00000X	Licensed Practical Nurse	288305	NY

General Provider Information

NPI Number	:	1902234842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA ZULMA

Provider Business Mailing Address
First Line	:	1800 ALBEMARLE RD
Second Line	:	APT. B5
City	:	BROOKLYN
State	:	NY
Zip	:	11226-8037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 ALBEMARLE RD
Second Line	:	APT. B5
City	:	BROOKLYN
State	:	NY
Zip	:	11226-8037
Country	:	US
Telephone Number	:	347-209-6181
Fax Number	:

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

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	10/30/2013

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Directions to “ TAMARA ZULMA ” Practice Location

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