Individual
TARA BROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 W 79TH ST, APARTMENT 8 C, NEW YORK, NY 10024-6448
(954) 895-1422
Mailing address
147 W 79TH ST, APARTMENT 8 C, NEW YORK, NY 10024-6448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
022243
NY
251B00000X
Case Management Agency
Primary
022243
NY
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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