Individual
TARA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
554 E 141ST ST, APT 2, BRONX, NY 10454-2107
(646) 257-9487
Mailing address
554 E 141ST ST, APT 2, BRONX, NY 10454-2107
(646) 257-9487
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2101-1301-9769-495
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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