person
Tara Grosskopf
Surgical Physician Assistant in Huntington, New York
NPI 1992804322

Tara Grosskopf is a Surgical Physician Assistant based in Huntington, NY and is specialized in Surgical. Tara Grosskopf practices in Huntington, NY. The NPI Number for Tara Grosskopf is 1992804322 and holds a License No. 010293-1 (New York).

The current practice location address for Tara Grosskopf is 196 E Main St, Huntington, NY and can be reached out via phone at 631-271-8030 and via fax at 631-271-8448.

Location: 196 E Main St, Huntington, NY, 11743-2922
person
Provider Profile Details
NPI Number
1992804322
Provider Name
Tara Grosskopf
Credential
Provider Entity Type
Individual
Gender
Female
Address
196 E Main St, Huntington, NY, 11743-2922
Phone Number
631-271-8030
Fax Number
631-271-8448
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
196 E Main St
City
State
Zip
11743-2922
Phone Number
631-271-8030
Fax Number
631-271-8448
person
Provider Business Mailing Address Details
Address
196 E Main St
City
State
Zip
11743-2922
Phone Number
631-271-8030
Fax Number
631-271-8448
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
010293-1 (New York)
Definition
Definition to come...
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