Individual
THARA ANN GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466
(718) 920-9000
Mailing address
657 PARK PL # 3, BROOKLYN, NY 11216-3805
(727) 543-8440
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
05/23/2018
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