National Provider Identifier
Tina M Iadresin
Tina M Iadresin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 986-8303.
Profile Overview
- NPI
- 1699564872
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 05, 2025
- Last Updated
- May 05, 2025
Practice Location
- 180 Reiman St
- Buffalo, NY 14206-1236
Phone: (716) 986-8303
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1699564872
- Entity Type
- Individual
- Last Name
- Iadresin
- First Name
- Tina
- Middle Name
- M
- Name Prefix
- MS.
- Mailing Street Address
- 180 Reiman St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1236
- Mailing Country
- US
- Mailing Phone
- (716) 986-8303
- Mailing Fax
- (716) 895-7078
- Practice Street Address
- 180 Reiman St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14206-1236
- Practice Country
- US
- Practice Phone
- (716) 986-8303
- Practice Fax
- (716) 895-7078
- Enumeration Date
- May 05, 2025
- Last Updated
- May 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)