| Michael Kenneth Tax, LPN | |
|
125 Oakland Ave Ste 204, Port Jefferson, NY 11777-2130 | |
| (631) 686-1414 | |
| (631) 686-1462 |
| Full Name | Michael Kenneth Tax |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 125 Oakland Ave Ste 204, Port Jefferson, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790244317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 262016-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kenneth Tax, LPN 1206 Broadway Ave, Holbrook, NY 11741-5413 Ph: (631) 295-7701 | Michael Kenneth Tax, LPN 125 Oakland Ave Ste 204, Port Jefferson, NY 11777-2130 Ph: (631) 686-1414 |
Mrs. Eileen Margaret Moretti, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7 Comseque Dr, Port Jefferson, NY 11776 Phone: 163-133-2324 | |
Regina Alvarez, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 107 Glenwood Ln, Port Jefferson, NY 11777 Phone: 631-828-8416 | |
Cameron Callirgos, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 508 W Broadway, Port Jefferson, NY 11777 Phone: 631-828-6316 | |
Agnes Percoco, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 627 Jayne Blvd, Port Jefferson, NY 11776 Phone: 631-331-5218 | |
Katey Lynn Burt, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Stonyhill Rd, Port Jefferson, NY 11777 Phone: 631-681-4611 | |
Jessica Anne Lindberg, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 201 Avenue A, Port Jefferson, NY 11777 Phone: 631-828-1439 Fax: 631-910-2096 |