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Mrs. Tara Lynn Glenn
Specialist in Manorville, New York
NPI 1245591072

Tara Lynn Glenn is a Specialist based in Manorville, NY. Tara Lynn Glenn practices in Manorville, NY. The NPI Number for Tara Lynn Glenn is 1245591072 and holds a License No. 502823111 (New York).

The current practice location address for Tara Lynn Glenn is 34 Winding Path, Manorville, NY and can be reached out via phone at 631-848-6336.

Location: 34 Winding Path, Manorville, NY, 11949-2280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245591072
Provider Name
Tara Lynn Glenn
Credential
Provider Entity Type
Individual
Gender
Female
Address
34 Winding Path, Manorville, NY, 11949-2280
Phone Number
631-848-6336
Fax Number
Provider Enumeration Date
06/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
34 Winding Path
City
Manorville
State
New York
Zip
11949-2279
Phone Number
631-848-6336
Fax Number
person
Provider Business Mailing Address Details
Address
34 Winding Path
City
Manorville
State
New York
Zip
11949-2279
Phone Number
631-848-6336
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
502823111 (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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