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Individual

MS. TARA JOYCE SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 335-0040
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103829713
CIGNA
NY
Enumeration date
06/24/2018
Last updated
06/24/2018
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