Individual
MISS TAMARA BETH POLLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP (PREVIOUSLY RN)
Contact information
Practice address
83-21 57TH AVE, ELMHURST, NY 11373
(718) 898-1170
(718) 898-3190
Mailing address
83-21 57TH AVE,, ELMHURST, NY 11373
(718) 898-1170
(718) 898-3190
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
485415
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421135
NY
Other
Enumeration date
03/06/2013
Last updated
10/13/2014
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