Provider Demographics
NPI:1245940394
Name:PRICE, TAMMI (NMD, ACCUPUNTURIST)
Entity type:Individual
Prefix:DR
First Name:TAMMI
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:NMD, ACCUPUNTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 HIGH MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-2749
Mailing Address - Country:US
Mailing Address - Phone:845-626-1414
Mailing Address - Fax:
Practice Address - Street 1:530 HIGH MEADOW DR
Practice Address - Street 2:
Practice Address - City:KERHONKSON
Practice Address - State:NY
Practice Address - Zip Code:12446-2749
Practice Address - Country:US
Practice Address - Phone:845-626-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002905-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY86-3725424Medicaid