Mahoney, Tara
Mahoney, Tara is an individual health care provider with primary practice located at 4 Technology Dr , East Setauket NY 11733-4080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mahoney, Tara can be contacted via phone (631) 444-4601.Contact Information
Primary practice address
4 Technology Dr
East Setauket NY 11733-4080
Phone: (631) 444-4601
Fax: (631) 444-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F382012 | New York |
Profile Details
| NPI number | 1619120938 |
|---|---|
| LBN Legal business name | Mahoney, Tara |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2008 |
| Last updated | Nov 13th, 2013 - about 11 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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