Individual
DR. TARA ELENGICKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 673-6620
Mailing address
414 LAKEVIEW RD, BELLMORE, NY 11710-4211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP457221
PA
1835I0206X
Infectious Diseases Pharmacist
Primary
070246
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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