Individual
TARA SIROTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
(844) 663-2255
Mailing address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
795414
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405047
NY
Other
Enumeration date
12/13/2021
Last updated
07/31/2023
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