Individual
MS. TARA ELIZABETH BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-3028
Mailing address
1320 YORK AVE APT 21R, NEW YORK, NY 10021-4861
(917) 747-6805
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430460-1
NY
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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