Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Judy Tack

Individual provider Registered Nurse · NPI 1962712430

Judy Tack is a Registered Nurse in Baldwinsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

222 Deerwood Dr
Baldwinsville, NY 13027-3145
Phone: (315) 638-6126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 399291 (NY)

Record details

NPI number1962712430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2010
Last updated in NPPESOctober 18, 2010

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