Individual
TAMAR SHICLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 SAGAMORE AVE, TEANECK, NJ 07666-2625
(917) 991-8175
Mailing address
388 SAGAMORE AVE, TEANECK, NJ 07666-2625
(917) 991-8175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339696-1
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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