Individual
TARA A MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16315 130TH AVE APT 7G, JAMAICA, NY 11434-3017
(347) 631-6513
Mailing address
16315 130TH AVE APT 7G, JAMAICA, NY 11434-3017
(347) 631-6513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668925
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
668925
NY
Other
Enumeration date
11/22/2021
Last updated
12/29/2021
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