Individual
LATOYA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROOSEVELT AVE STE 300, SYOSSET, NY 11791-3064
(516) 496-4460
Mailing address
51 HOLLY AVE, HEMPSTEAD, NY 11550-5207
(516) 984-3598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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