Individual
MS. TENISHA G IMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1531 RIVER RD, SELKIRK, NY 12158-2903
(917) 801-6474
Mailing address
1531 RIVER RD, SELKIRK, NY 12158-2903
(917) 801-6474
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
006961-01
NY
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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