Individual provider · Type 1 NPI

Tara Annette Clark, M.S.

Specialist · Hicksville, NY

NPI number 1013270917 Active

Practice location

24 Libby Ave
Hicksville, NY 11801-1737

Call (516) 495-4196 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1711977 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013270917

Tara Annette Clark, M.S.'s National Provider Identifier is 1013270917, issued on Jun 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hicksville, NY. The record was last updated on Jun 17, 2012.