Tara Annette Clark M.S.

NPI 1013270917 - Specialist - 174400000X

NPI Details
NPI 1013270917
Gender Female
Enumeration Date 06/17/2012
Last Updated 06/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
24 LIBBY AVE
HICKSVILLE NY, 11801-1737, US
Phone (516) 495-4196
Fax
Business Location
24 LIBBY AVE
HICKSVILLE NY, 11801-1737, US
Phone (516) 495-4196
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 1711977
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According to our database, Mrs. Tara Annette Clark M.S. NPI is 1013270917, taxonomy code is 174400000X and license number is 1711977, license state is located at New York. Tara Annette Clark M.S. physically located at 24 Libby Ave, Hicksville NY, 11801-1737. NPI Number Tara Annette Clark M.S. has the Individual type.

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1013270917 NPI number is provided on an as is basis without warranty of any kind. 1013270917 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Annette Clark M.S. are for informational purposes only.