Provider Demographics
NPI:1932434784
Name:POLLOCK, TAMMY R (CD (CBI))
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:R
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:CD (CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-1323
Mailing Address - Country:US
Mailing Address - Phone:585-798-3237
Mailing Address - Fax:
Practice Address - Street 1:152 NORTH ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-1323
Practice Address - Country:US
Practice Address - Phone:585-798-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula