National Provider Identifier
Noa R Tia
Noa R Tia is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1780358135
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- August 08, 2021
- Last Updated
- August 08, 2021
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 105 South St
- Ithaca, NY 14850-5326
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1780358135
- Entity Type
- Individual
- Last Name
- Tia
- First Name
- Noa
- Middle Name
- R
- Mailing Street Address
- 105 South St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5326
- Mailing Country
- US
- Mailing Phone
- (607) 793-3391
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- August 08, 2021
- Last Updated
- August 08, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)