Most Relevant Information
Provider Data
| NPI Number: | 1003536574 |
| Provider Name: | LATOYA TUCKER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2022 |
| Last Updated: | 09/02/2022 |
Provider Practice Location
2 ROOSEVELT AVE STE 300
SYOSSET
NY
117913064
Practice Location Phone/Fax
| Phone: | 5164964460 |
| Fax: |
Provider Mailing Location
51 HOLLY AVE
HEMPSTEAD
NY
115505207
Provider Mailing Phone/Fax
| Phone: | 5169843598 |
| Fax: |