Individual
MICHAEL TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
19 CLIFTON COUNTRY RD, CLIFTON PARK, NY 12065-3881
(518) 280-9211
Mailing address
19 CLIFTON COUNTRY RD, CLIFTON PARK, NY 12065-3881
(518) 280-9211
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000080328
NY
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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