Individual provider · Type 1 NPI

Tara Michele Larocca, P.A.

Surgical Physician Assistant · New York, NY

NPI number 1033467220 Active

Practice location

100 E 77th St
New York, NY 10075-1850

Call (212) 434-2454 Map

Mailing address

38 W 73rd St, Apt 4B
New York, NY 10023-3115

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X007140 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1033467220

Tara Michele Larocca, P.A.'s National Provider Identifier is 1033467220, issued on Aug 21, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Aug 21, 2012.