Individual
TARA NOWAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
36 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570-5768
(516) 536-2800
(516) 705-4038
Mailing address
1101 STEWART AVE, GARDEN CITY, NY 11530-4892
(516) 302-8180
(516) 992-4637
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011523
NY
Other
Enumeration date
06/28/2007
Last updated
05/07/2018
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