Individual
MRS. JILL BETH TALCOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11 AUNT PATTYS LN, MAHOPAC, NY 10541-4407
(845) 621-8655
(845) 621-0380
Mailing address
11 AUNT PATTYS LN, MAHOPAC, NY 10541-4407
(845) 621-8655
(845) 621-0380
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
491468-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02534187
—
NY
Enumeration date
09/06/2007
Last updated
09/06/2007
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