Mrs. Tara Flocco
Nurse Practitioner - Pediatrics
655 Deer Park Ave
Babylon
, New York 11702-1314
Mrs. Tara Flocco
Nurse Practitioner - Pediatrics
655 Deer Park Ave
Babylon
, New York 11702-1314
(631) 321-2125
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Tara Flocco
- 655 Deer Park Ave
- Babylon, NY
- Zip : 11702-1314
- Fax : (631) 321-2125
- Phone : (631) 321-2100
Second Address
- Mrs. Tara Flocco
- 655 Deer Park Ave
- Babylon, NY
- Zip : 11702-1314
- Fax : (631) 321-2125
- Phone : (631) 321-2100
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Is Mrs. Tara Flocco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | F382313-1 | NY |
National Provider Identifier
| NPI | 1043485998 |
|---|---|
| Provider Name | Mrs. Tara Flocco |
| First Address | Babylon, NY 11702-1314 |
| Second Address | Babylon, NY 11702-1314 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2008 |
| Last Update Date | 15/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.