Individual
TARA PROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRICHOLOGIST
Contact information
Practice address
10 WESTERN AVE, MARLBORO, NY 12542-6164
(845) 863-9977
Mailing address
522 LATTINTOWN RD, MARLBORO, NY 12542-5158
(845) 863-9977
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
AJ12DYPTNY
NY
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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