Provider Demographics
NPI:1043596786
Name:VALENTINA TOLMACHEVA-HARRISON
Entity Type:Organization
Organization Name:VALENTINA TOLMACHEVA-HARRISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURST
Authorized Official - Prefix:MS
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLMACHEVA-HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-254-2904
Mailing Address - Street 1:1073 REILLY ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-2611
Mailing Address - Country:US
Mailing Address - Phone:631-254-2904
Mailing Address - Fax:
Practice Address - Street 1:1073 REILLY ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-2611
Practice Address - Country:US
Practice Address - Phone:631-254-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management