Provider Demographics
NPI:1770353302
Name:TSAHEY, BEATRICE YAWA
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:YAWA
Last Name:TSAHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 FORD AVE
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-3122
Mailing Address - Country:US
Mailing Address - Phone:518-301-5327
Mailing Address - Fax:
Practice Address - Street 1:159 WOLF RD STE 105
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-6008
Practice Address - Country:US
Practice Address - Phone:518-437-0152
Practice Address - Fax:855-415-4970
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308970-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse