Individual
DR. TARA LYNN HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HSC T19 060, STONY BROOK, NY 11794-0001
(631) 444-9394
(631) 444-6007
Mailing address
HSC T19 060, STONY BROOK, NY 11794-0001
(631) 444-9394
(631) 444-6007
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
230249
NY
Other
Enumeration date
05/20/2008
Last updated
10/12/2011
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