Grosskopf, Tara

Grosskopf, Tara is an individual health care provider with primary practice located at 196 E Main St , Huntington NY 11743-2922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Grosskopf, Tara can be contacted via phone (631) 271-8030.

Contact Information

Primary practice address
196 E Main St Huntington NY 11743-2922
Phone: (631) 271-8030
Fax: (631) 271-8448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 010293-1 New York

Profile Details

NPI number 1992804322
LBN Legal business name Grosskopf, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 8th, 2018 - about 6 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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