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Individual

MRS. TARA ANN CALTABIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7555
Mailing address
25811 87TH AVE, FLORAL PARK, NY 11001-1447

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430541-1
NY

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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