Individual
TARA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
V.M.D.
Contact information
Practice address
2150 HEMPSTEAD TPKE, BELMONT PARK RACETRACK GATE 6, ELMONT, NY 11003-1551
(516) 488-3717
Mailing address
PO BOX 30452, ELMONT, NY 11003-0452
(516) 488-3717
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
10493
NY
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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