Wanukovich, Tara
Wanukovich, Tara is an sole proprietor health care provider with primary practice located at 29 Puritan Ave , East Patchogue NY 11772-5516. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wanukovich, Tara can be contacted via phone (631) 790-6126.Contact Information
Primary practice address
29 Puritan Ave
East Patchogue NY 11772-5516
Phone: (631) 790-6126
Fax: (631) 569-4761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1790407781 |
|---|---|
| LBN Legal business name | Wanukovich, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2022 |
| Last updated | Sep 15th, 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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