Individual
MS. TARA SUMMER CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(631) 295-6107
Mailing address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405354
NY
Other
Enumeration date
09/11/2023
Last updated
05/27/2025
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