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

Mrs. Tamara B Nicoletto

Individual provider Developmental Therapist · NPI 1689405797

Mrs. Tamara B Nicoletto is a Developmental Therapist in Medford, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

182 Southaven Ave
Medford, NY 11763-4056
Phone: (631) 681-2777
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence $$$$$$$$$ (NY)

Record details

NPI number1689405797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024