Individual
MS. TARA KRISTINE MANIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
43 NEW SCOTLAND AVE, MAIL CODE - 73, ALBANY, NY 12208-3412
(518) 262-3494
Mailing address
43 NEW SCOTLAND AVE, MAIL CODE - 73, ALBANY, NY 12208-3412
(518) 262-3494
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013364
NY
Other
Enumeration date
07/10/2009
Last updated
01/06/2016
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