National Provider Identifier

Tabitha Rushmore

Tabitha Rushmore is listed in the NPPES registry with a primary specialty of Specialist in Penn Yan, NY and a listed phone number of (315) 279-1288.

NPI 1285044370Penn Yan, NYSpecialist

Profile Overview

NPI
1285044370
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
April 29, 2014
Last Updated
April 29, 2014

Practice Location

  • 3 School Dr
  • Penn Yan, NY 14527-1081

Phone: (315) 279-1288

Mailing Address

  • 235 North Ave
  • Penn Yan, NY 14527-1051

Specialties

  • Specialist (174400000X)
Full Record
NPI
1285044370
Entity Type
Individual
Last Name
Rushmore
First Name
Tabitha
Mailing Street Address
235 North Ave
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1051
Mailing Country
US
Mailing Phone
(315) 279-1288
Practice Street Address
3 School Dr
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1081
Practice Country
US
Practice Phone
(315) 279-1288
Enumeration Date
April 29, 2014
Last Updated
April 29, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)