Individual provider · Type 1 NPI
Tara Pross, TRICHOLOGIST
Prosthetic/Orthotic Supplier · Marlboro, NY
Practice location
10 Western Ave
Marlboro, NY 12542-6164
Mailing address
522 Lattintown Rd
Marlboro, NY 12542-5158
Other practice locations
- 42 Main Street, Milton, NY 12547 · (845) 291-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | AJ12DYPTNY (NY) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1013691690
Tara Pross, TRICHOLOGIST's National Provider Identifier is 1013691690, issued on Jun 14, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Marlboro, NY. The record was last updated on Jun 14, 2023.