Provider Demographics
NPI:1386995090
Name:TASHMAN, PATTI DEE (MS ED)
Entity type:Individual
Prefix:MS
First Name:PATTI
Middle Name:DEE
Last Name:TASHMAN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GLENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-5124
Mailing Address - Country:US
Mailing Address - Phone:518-346-2872
Mailing Address - Fax:
Practice Address - Street 1:8 GLENBROOK RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-5124
Practice Address - Country:US
Practice Address - Phone:518-346-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY669348121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist