Provider Demographics
NPI:1710250063
Name:TELLO, MONIKA PATRYCJA (MS, APRN, ACHPN)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:PATRYCJA
Last Name:TELLO
Suffix:
Gender:F
Credentials:MS, APRN, ACHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4607
Mailing Address - Country:US
Mailing Address - Phone:914-200-2316
Mailing Address - Fax:914-681-2771
Practice Address - Street 1:41 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4607
Practice Address - Country:US
Practice Address - Phone:914-849-7111
Practice Address - Fax:914-849-7598
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005184363LA2200X
NY305938363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health