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Individual

MRS. TARA J MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP, PMHNP

Contact information

Practice address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(845) 279-2995
(845) 279-3024
Mailing address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(845) 279-2995
(845) 279-3024

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.071421
CT
163W00000X
Registered Nurse
546656
NY
363LF0000X
Family Nurse Practitioner
334976
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401565
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03689443
NY
Enumeration date
08/09/2007
Last updated
07/27/2021
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