NPI 1265787964

Colleen Mary Tanaka, MSED

Practitioner Case Manager/Care Coordinator Inwood, NY

Practice location

Address: 90 Henry St, Inwood, NY 11096-2335
Phone: (516) 239-2182
Fax: (516) 374-1068
Mailing address: 38 Commonwealth Ave, Lake Grove, NY 11755-1723

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 1074492 (NY)

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Registry record

NPI: 1265787964
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2012
Record last updated: 18 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.