Individual
DR. TARA MCCONNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6879
Mailing address
23 SWEETBERRY AVE, CENTER MORICHES, NY 11934-1417
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
253285-1
NY
Other
Enumeration date
08/27/2009
Last updated
12/05/2016
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