Provider Demographics
NPI:1518994888
Name:JARNOT, TANYA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:JARNOT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:MARIE
Other - Last Name:CAMILLERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8750 TRANSIT RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2610
Mailing Address - Country:US
Mailing Address - Phone:716-568-1251
Mailing Address - Fax:716-568-1253
Practice Address - Street 1:8750 TRANSIT RD
Practice Address - Street 2:SUITE 120
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2610
Practice Address - Country:US
Practice Address - Phone:716-568-1251
Practice Address - Fax:716-568-1253
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA7299Medicare ID - Type Unspecified