person
Shane Tatar, PA
Medical Physician Assistant in Merrick, New York
NPI 1770932303

Shane Tatar is a Medical Physician Assistant based in Amityville, NY and is specialized in Medical. Shane Tatar practices in Merrick, NY and has the professional credentials of PA. The NPI Number for Shane Tatar is 1770932303 and holds a License No. 019324 (New York).

The current practice location address for Shane Tatar is 389 Merrick Ave, Merrick, NY and can be reached out via phone at 516-867-5132 and via fax at 516-867-5519.

Location: 389 Merrick Ave, Merrick, NY, 11701-2780
person
Provider Profile Details
NPI Number
1770932303
Provider Name
Shane Tatar
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
389 Merrick Ave, Merrick, NY, 11701-2780
Phone Number
516-867-5132
Fax Number
516-867-5519
Provider Enumeration Date
06/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
389 Merrick Ave
City
State
Zip
11566-2723
Phone Number
516-867-5132
Fax Number
516-867-5519
person
Provider Business Mailing Address Details
Address
389 Merrick Ave
City
State
Zip
11566-2723
Phone Number
516-867-5132
Fax Number
516-867-5519
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
019324 (New York)
Definition
Definition to come...
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