# TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366102444
- **Legal business name:** TARA A BURKE MUSCATELLO NP PSYCHIATRY PLLC
- **Authorized official:** TARA A BURKE MUSCATELLO NP (OWNER)
- **Authorized official phone:** (518) 782-3815

## Contact information

- **Practice address:** 56 CLIFTON COUNTRY ROAD, SUITE 100, CLIFTON PARK, NY 12065-3994
- **Practice address phone:** (518) 782-3815
- **Practice address fax:** (323) 334-1415
- **Mailing address:** 56 CLIFTON COUNTRY ROAD, SUITE 100, CLIFTON PARK, NY 12065-3994
- **Mailing address phone:** (518) 782-3815
- **Mailing address fax:** (323) 334-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 12/30/2021