National Provider Identifier

Emmanuel Tatah Fai, LPN

Emmanuel Tatah Fai, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 436-0062.

NPI 1104008549Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1104008549
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 28, 2007
Last Updated
January 25, 2012

Practice Location

  • 43 Vick Park A Apt 5
  • Rochester, NY 14607-2125

Phone: (585) 436-0062

Mailing Address

  • 24 King St
  • Rochester, NY 14608-1919

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104008549
Entity Type
Individual
Last Name
Fai
First Name
Emmanuel
Middle Name
Tatah
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
24 King St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1919
Mailing Country
US
Mailing Phone
(585) 328-6108
Practice Street Address
43 Vick Park A Apt 5
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-2125
Practice Country
US
Practice Phone
(585) 436-0062
Enumeration Date
November 28, 2007
Last Updated
January 25, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
291510-1 (NY, LPN License)