Individual
DEANNA TAIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 CROPSEY AVE APT C6, BROOKLYN, NY 11214-5612
(347) 761-6187
Mailing address
2215 CROPSEY AVE APT C6, BROOKLYN, NY 11214-5612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
031434
NY
Other
Enumeration date
06/30/2023
Last updated
02/14/2024
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