Provider Demographics
NPI:1245792860
Name:TAMEA, DANIEL C (NP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:TAMEA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 DIAMOND ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3459
Mailing Address - Country:US
Mailing Address - Phone:985-789-3410
Mailing Address - Fax:
Practice Address - Street 1:505 E 70TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-1578
Practice Address - Fax:646-967-4098
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF309110-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health