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Mrs. Tara Annette Clark, MS
Specialist in Hicksville, New York
NPI 1013270917

Tara Annette Clark is a Specialist based in Hicksville, NY. Tara Annette Clark practices in Hicksville, NY and has the professional credentials of MS. The NPI Number for Tara Annette Clark is 1013270917 and holds a License No. 1711977 (New York).

The current practice location address for Tara Annette Clark is 24 Libby Ave, Hicksville, NY and can be reached out via phone at 516-495-4196.

Location: 24 Libby Ave, Hicksville, NY, 11801-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013270917
Provider Name
Tara Annette Clark
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
24 Libby Ave, Hicksville, NY, 11801-1737
Phone Number
516-495-4196
Fax Number
Provider Enumeration Date
06/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Libby Ave
City
Hicksville
State
New York
Zip
11801-1737
Phone Number
516-495-4196
Fax Number
person
Provider Business Mailing Address Details
Address
24 Libby Ave
City
Hicksville
State
New York
Zip
11801-1737
Phone Number
516-495-4196
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1711977 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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