Cornell, Tara M

Cornell, Tara M is an individual health care provider with primary practice located at 48 East St , Fort Edward NY 12828-1811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cornell, Tara M can be contacted via phone (518) 824-8630.

Contact Information

Primary practice address
48 East St Fort Edward NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F404226 New York

Profile Details

NPI number 1922732114
LBN Legal business name Cornell, Tara M
Credentials NPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Oct 13th, 2022 - about 2 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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