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Individual

EUGENIE TARTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
50 LAUREN CT, KINGSTON, NY 12401-7207
(646) 715-8565
Mailing address
50 LAUREN CT, KINGSTON, NY 12401-7207
(646) 715-8565

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004881
NY
163W00000X
Registered Nurse
327829-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X004881
NY LICENSE
NY
01
XOO4881
LICENSE
NY
Enumeration date
02/17/2009
Last updated
12/21/2020
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