National Provider Identifier

Tamasha Marie Mateo, RN

Tamasha Marie Mateo, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1568929040Newark, NYRegistered Nurse

Profile Overview

NPI
1568929040
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 21, 2019
Last Updated
February 21, 2019

Practice Location

  • 848 Peirson Ave
  • Newark, NY 14513-9762

Phone: (315) 331-2086

Mailing Address

  • 150 Vanburen St
  • Newark, NY 14513

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1568929040
Entity Type
Individual
Last Name
Mateo
First Name
Tamasha
Middle Name
Marie
Name Prefix
MS.
Credential
RN
Mailing Street Address
150 Vanburen St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513
Mailing Country
US
Mailing Phone
(315) 331-7741
Mailing Fax
(315) 331-0307
Practice Street Address
848 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9762
Practice Country
US
Practice Phone
(315) 331-2086
Enumeration Date
February 21, 2019
Last Updated
February 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)