Tara Michelle Niedzialkowski PA

NPI 1215216551 - Physician Assistant - 363AM0700X

NPI Details
NPI 1215216551
Gender Female
Enumeration Date 08/04/2011
Last Updated 01/03/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
55 CALVARY DR
NORWICH NY, 13815-1032, US
Phone (607) 336-6362
Fax
Business Location
43 CLEVELAND AVE
APARTMENT #2
BINGHAMTON NY, 13905-3221, US
Phone (607) 759-4832
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
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According to our database, Mrs. Tara Michelle Niedzialkowski PA NPI is 1215216551, taxonomy code is 363AM0700X Tara Michelle Niedzialkowski PA physically located at 55 Calvary Dr, Norwich NY, 13815-1032. NPI Number Tara Michelle Niedzialkowski PA has the Individual type.

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1215216551 NPI number is provided on an as is basis without warranty of any kind. 1215216551 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Michelle Niedzialkowski PA are for informational purposes only.