National Provider Identifier

The Health Spot Family Health NP/RN, PC

The Health Spot Family Health NP/RN, PC is listed in the NPPES registry with a primary specialty of Nursing Care Agency in Rochester, NY and a listed phone number of (585) 622-4380.

NPI 1639406242Rochester, NYNursing Care Agency

Profile Overview

NPI
1639406242
Provider Type
Organization
Primary Specialty
Nursing Care Agency
Enumeration Date
November 03, 2009
Last Updated
July 02, 2018

Practice Location

  • 201 Dakota St
  • Rochester, NY 14606-1335

Phone: (585) 622-4380

Mailing Address

  • PO Box 31724
  • Rochester, NY 14603-1724

Specialties

  • Nursing Care Agency (251J00000X)
  • Nursing Care Agency (251J00000X)
Full Record
NPI
1639406242
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
The Health Spot Family Health NP/RN, PC
Mailing Street Address
PO Box 31724
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14603-1724
Mailing Country
US
Mailing Phone
(585) 622-4380
Practice Street Address
201 Dakota St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-1335
Practice Country
US
Practice Phone
(585) 622-4380
Enumeration Date
November 03, 2009
Last Updated
July 02, 2018
Authorized Official Last Name
David
Authorized Official First Name
Tamala
Authorized Official Middle Name
Miyako
Authorized Official Title
President
Authorized Official Phone
(585) 576-7092
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
PHD, MPA, MS, FNP/RN
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nursing Care Agency (251J00000X), Nursing Care Agency (251J00000X)
Other Identifiers
02140632 (NY)