Provider Demographics
NPI:1558173211
Name:JAMAICA MARIAE TOBIAS ACUTE CARE&FAMILY HEALTH NURSE PRACTITIONER PLLC
Entity type:Organization
Organization Name:JAMAICA MARIAE TOBIAS ACUTE CARE&FAMILY HEALTH NURSE PRACTITIONER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JAMAICA MARIAE
Authorized Official - Middle Name:DEL ROSARIO
Authorized Official - Last Name:TOBIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP AGACNP-BC FNP-BC
Authorized Official - Phone:646-464-2634
Mailing Address - Street 1:214 CHURCH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 CHURCH ST FL 2
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1212
Practice Address - Country:US
Practice Address - Phone:646-464-2634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty