Individual
MRS. TARA ROBYN STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2482 LEGION ST, BELLMORE, NY 11710-4903
(516) 637-5806
Mailing address
2482 LEGION ST, BELLMORE, NY 11710-4903
(516) 637-5806
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
676602121
NY
252Y00000X
Early Intervention Provider Agency
Primary
676743121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NYFRIT2480
AMERICAN PROFESSIONALS
NY
Enumeration date
01/04/2013
Last updated
01/04/2013
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