Provider Demographics
NPI:1265086334
Name:THOMAS VENCE SAGLIMBENI NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:THOMAS VENCE SAGLIMBENI NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:VENCE
Authorized Official - Last Name:SAGLIMBENI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-379-2229
Mailing Address - Street 1:70 PARK TER W APT E82
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1348
Mailing Address - Country:US
Mailing Address - Phone:631-379-2229
Mailing Address - Fax:
Practice Address - Street 1:314 W 14TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-5002
Practice Address - Country:US
Practice Address - Phone:212-620-0144
Practice Address - Fax:212-691-8588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty