Liska, Tara Nicole

Liska, Tara Nicole is an individual health care provider with primary practice located at 357 Genesee St Ste 2 , Oneida NY 13421-2696. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Liska, Tara Nicole can be contacted via phone (315) 363-4651.

Contact Information

Primary practice address
357 Genesee St Ste 2 Oneida NY 13421-2696
Phone: (315) 363-4651
Fax: (315) 363-2821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 25MT00261800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1952946188
LBN Legal business name Liska, Tara Nicole
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated May 28th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952946188 NPPES
Other 1190522 NCCPA ID NUMBER
Other 004692 NCCPA ID NUMBER
Other 2000034224 NCCPA ID NUMBER

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