Individual
TARA A BURKE-MUSCATELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
258 USHERS RD STE 203, CLIFTON PARK, NY 12065-1428
(518) 588-3961
(518) 909-8488
Mailing address
258 USHERS RD STE 203, CLIFTON PARK, NY 12065-1428
(518) 782-3815
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
402734
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402734
NY
Other
Enumeration date
07/15/2019
Last updated
04/01/2024
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