Lee, Tara K

Lee, Tara K is an sole proprietor health care provider with primary practice located at 112 Barrett Ave , Bayport NY 11705-1416. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lee, Tara K can be contacted via phone (631) 882-6451.

Contact Information

Primary practice address
112 Barrett Ave Bayport NY 11705-1416
Phone: (631) 882-6451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 098735 New York

Profile Details

NPI number 1174046015
LBN Legal business name Lee, Tara K
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2017
Last updated Jul 21st, 2022 - about 3 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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