Tara Gianni

NPI 1992804322 - Physician Assistant - 363AS0400X

NPI Details
NPI 1992804322
Gender Female
Enumeration Date 09/22/2006
Last Updated 04/17/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
800 MONTAUK HIGHWAY
WEST ISLIP NY, 11795, US
Phone (631) 893-3903
Fax (631) 893-3904
Business Location
800 MONTAUK HWY
WEST ISLIP NY, 11795-4919, US
Phone (631) 893-3903
Fax (631) 893-3904
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 010293-1
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According to our database, Tara Gianni NPI is 1992804322, taxonomy code is 363AS0400X and license number is 010293-1, license state is located at New York. Tara Gianni physically located at 800 Montauk Highway, West Islip NY, 11795. NPI Number Tara Gianni has the Individual type.

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1992804322 NPI number is provided on an as is basis without warranty of any kind. 1992804322 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Gianni are for informational purposes only.