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Organization

THE HEALTH SPOT FAMILY HEALTH NP/RN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMALA MIYAKO DAVID PHD, MPA, MS, FNP/RN (PRESIDENT)
(585) 576-7092
Entity
Organization

Contact information

Practice address
201 DAKOTA ST, ROCHESTER, NY 14606-1335
(585) 622-4380
Mailing address
PO BOX 31724, ROCHESTER, NY 14603-1724
(585) 622-4380

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
515251-1
NY
251J00000X
Nursing Care Agency
F335068-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02140632
NY
Enumeration date
11/03/2009
Last updated
07/02/2018
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