MICHAEL TAX, LPN

LPN

Licensed Practical Nurse

NPI: 1790244317Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

262016-1(NY)

Contact & Hours

Address: 125 OAKLAND AVE STE 204
PORT JEFFERSON, NY 11777
Phone: (631) 686-1414

Location

Practice Location

125 OAKLAND AVE STE 204, PORT JEFFERSON, NY

Quick Facts

NPI: 1790244317
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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