Individual
TARA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16 HEMLOCK DR, GLEN HEAD, NY 11545-3325
(917) 612-6126
Mailing address
16 HEMLOCK DR, GLEN HEAD, NY 11545-3325
(917) 612-6126
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
011358-1
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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