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Tara Pross, TRICHOLOGIST
Prosthetic/Orthotic Supplier in Marlboro, New York
NPI 1013691690

Tara Pross is a Prosthetic/Orthotic Supplier based in Marlboro, NY. Tara Pross practices in Marlboro, NY and has the professional credentials of TRICHOLOGIST. The NPI Number for Tara Pross is 1013691690 and holds a License No. AJ12DYPTNY (New York).

The current practice location address for Tara Pross is 10 Western Ave, Marlboro, NY and can be reached out via phone at 845-863-9977.

Location: 10 Western Ave, Marlboro, NY, 12542-5158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013691690
Provider Name
Tara Pross
Credential
TRICHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
10 Western Ave, Marlboro, NY, 12542-5158
Phone Number
845-863-9977
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Western Ave
City
Marlboro
State
New York
Zip
12542-6164
Phone Number
845-863-9977
Fax Number
person
Provider Business Mailing Address Details
Address
10 Western Ave
City
Marlboro
State
New York
Zip
12542-6164
Phone Number
845-863-9977
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
AJ12DYPTNY (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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