Individual
TAJMA SARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2060 FAIRPORT NINE MILE POINT RD STE 400, PENFIELD, NY 14526-1749
(585) 388-6000
(585) 388-6004
Mailing address
2060 FAIRPORT NINE MILE POINT RD STE 400, PENFIELD, NY 14526-1749
(585) 388-6000
(585) 388-6004
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
612357-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406084
NY
Other
Enumeration date
02/14/2022
Last updated
07/16/2025
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