Individual
TYLER DAVID STAUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
42 ACADEMY ST, PATCHOGUE, NY 11772-3813
(631) 696-9669
Mailing address
42 ACADEMY ST, PATCHOGUE, NY 11772-3813
(631) 696-9669
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
385138
NY
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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