National Provider Identifier
Tanisha Gamble
Tanisha Gamble is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Rochester, NY and a listed phone number of (585) 546-7220.
Profile Overview
- NPI
- 1043573512
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- June 20, 2012
- Last Updated
- June 20, 2012
Practice Location
- 87 Clinton Ave N
- Rochester, NY 14604-1455
Phone: (585) 546-7220
Specialties
- Early Intervention Provider Agency (252Y00000X)
- Case Management Agency (251B00000X)
Full Record
- NPI
- 1043573512
- Entity Type
- Individual
- Last Name
- Gamble
- First Name
- Tanisha
- Mailing Street Address
- 87 Clinton Ave N
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1455
- Mailing Country
- US
- Practice Street Address
- 87 Clinton Ave N
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1455
- Practice Country
- US
- Practice Phone
- (585) 546-7220
- Practice Fax
- (585) 262-7198
- Enumeration Date
- June 20, 2012
- Last Updated
- June 20, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X), Case Management Agency (251B00000X)