Individual
TARA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
(716) 805-1073
Mailing address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
(716) 805-1073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008052-1
NY
363AM0700X
Medical Physician Assistant
C0002406
MD
Other
Enumeration date
08/09/2006
Last updated
03/11/2011
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