| Tache Ebony Star Gorton, | |
|
25 Aspen Drive, Bloomingburg, NY 12721 | |
| (845) 249-9646 | |
| Not Available |
| Full Name | Tache Ebony Star Gorton |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 25 Aspen Drive, Bloomingburg, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306518626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 33303701 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tache Ebony Star Gorton, 25 Aspen Drive, Bloomingburg, NY 12721 Ph: (845) 249-9646 | Tache Ebony Star Gorton, 25 Aspen Drive, Bloomingburg, NY 12721 Ph: (845) 249-9646 |
Theresa Dora Ramos, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 55 Pine Dr, Bloomingburg, NY 12721 Phone: 845-800-3259 | |
Deborah Estevez, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 398 Ski Run Rd, Bloomingburg, NY 12721 Phone: 845-520-6175 | |
Mrs. Jamie Marie Harper, RN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 467 Roosa Gap Rd, Bloomingburg, NY 12721 Phone: 845-381-7345 Fax: 845-733-8433 | |
Mrs. Veronica Brescia Luft, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 74 Twin Lakes Trl, Bloomingburg, NY 12721 Phone: 845-705-2411 | |
Miss Adonna Rae Kline, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 811 Roosa Gap Road, Bloomingburg, NY 12721 Phone: 303-947-8027 | |
Mrs. Virginia F Marino, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7 Country Ln, Bloomingburg, NY 12721 Phone: 845-733-1569 |