Provider Demographics
NPI:1043817885
Name:TOTAL CARE ADULT HEALTH, NP, PLLC
Entity Type:Organization
Organization Name:TOTAL CARE ADULT HEALTH, NP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:NG
Authorized Official - Last Name:WALDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:347-385-6756
Mailing Address - Street 1:995 ORION CT
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1025
Mailing Address - Country:US
Mailing Address - Phone:347-385-6756
Mailing Address - Fax:
Practice Address - Street 1:1401 JERUSALEM AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1342
Practice Address - Country:US
Practice Address - Phone:347-385-6756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty