Individual
TARA CHOUAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
352 7TH AVENUE, FLOOR 12A, OFFICE H, NEW YORK, NY 10001
(646) 470-9273
(718) 540-4024
Mailing address
352 7TH AVE FL 12A, SUITE H, NEW YORK, NY 10001-5893
(646) 470-9273
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
25MA11460200
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
299512
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
06/06/2024
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