Individual
CHRISTA TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 TOWNE DR, FAYETTEVILLE, NY 13066-1371
(315) 637-2876
Mailing address
340 TOWNE DR, FAYETTEVILLE, NY 13066-1371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062907
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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