# TAMARA B. DESVARIEUX, ADULT NURSE PRACTITIONER,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750881199
- **Authorized official:** TAMARA BARBARA DESVARIEUX NP (NP)
- **Authorized official phone:** (516) 778-1736

## Contact information

- **Practice address:** 245 CONKLIN ST, FARMINGDALE, NY 11735-2659
- **Practice address phone:** (516) 778-1736
- **Mailing address:** 95 PEARSALL AVE, LYNBROOK, NY 11563-1542
- **Mailing address phone:** (516) 778-1736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F305723 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 02/12/2018