Russian, Tara Mary

Russian, Tara Mary is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russian, Tara Mary can be contacted via phone (718) 334-3900.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Phone: (718) 334-3900
Fax: (718) 334-5958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P059328 New York

Profile Details

NPI number 1720144728
LBN Legal business name Russian, Tara Mary
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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