Individual
MS. TARA S ROSE-LEGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4623
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303377
NY
Other
Enumeration date
08/29/2006
Last updated
03/21/2025
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