Provider Demographics
NPI:1427245752
Name:TRINGALI, TANYA LEE (CNM)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:LEE
Last Name:TRINGALI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9902 NW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4901
Mailing Address - Country:US
Mailing Address - Phone:347-526-1210
Mailing Address - Fax:
Practice Address - Street 1:ST MARY'S RPICC CLINIC
Practice Address - Street 2:927 45TH ST, SUITE 103
Practice Address - City:MAGNOLIA PARK
Practice Address - State:FL
Practice Address - Zip Code:33407-2450
Practice Address - Country:US
Practice Address - Phone:347-526-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001293367A00000X
FLAPRN11022959367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2944856Medicaid