Individual
MS. TARA RODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1669 E 36TH ST, BROOKLYN, NY 11234-4218
(347) 414-3138
Mailing address
1723 E 12TH ST STE 5L, BROOKLYN, NY 11229-1071
(347) 414-3138
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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