Janice Chandra Tara ANP

NPI 1043552797 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1043552797
Gender Female
Enumeration Date 03/20/2013
Last Updated 03/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3 HEATHCOTE RD
3
ELMONT NY, 11003, US
Phone (516) 328-9843
Fax
Business Location
3 HEATHCOTE RD
ELMONT
ELMONT NY, 11003-1402, US
Phone (516) 328-9843
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New York
License Number #A1212034
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According to our database, Miss Janice Chandra Tara ANP NPI is 1043552797, taxonomy code is 363LA2200X and license number is #A1212034, license state is located at New York. Janice Chandra Tara ANP physically located at 3 Heathcote Rd, Elmont NY, 11003. NPI Number Janice Chandra Tara ANP has the Individual type.

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1043552797 NPI number is provided on an as is basis without warranty of any kind. 1043552797 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Chandra Tara ANP are for informational purposes only.