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

Michelle Tarantino

Individual provider Family Medicine Physician · NPI 1669303202

Michelle Tarantino is a Nurse Practitioner in Mineola, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2026

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-2094
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F352242 (NY)

Record details

NPI number1669303202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 24, 2026
Mailing address259 1st St, Mineola, NY 11501-3957

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mineola