Individual
TAMARA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 431-4511
Mailing address
1985 MARCUS AVE, NEW HYDE PARK, NY 11042-2008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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