Clark, Tara Annette

Clark, Tara Annette is an individual health care provider with primary practice located at 24 Libby Ave , Hicksville NY 11801-1737. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Tara Annette can be contacted via phone (516) 495-4196.

Contact Information

Primary practice address
24 Libby Ave Hicksville NY 11801-1737
Phone: (516) 495-4196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1711977 New York

Profile Details

NPI number 1013270917
LBN Legal business name Clark, Tara Annette
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2012
Last updated Jun 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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