Individual provider · Type 1 NPI

Tara Olideyka Crossman

Student in an Organized Health Care Education/Training Program · Long Island City, NY

NPI number 1073022174 Active

Practice location

1430 Broadway
Long Island City, NY 11106-4530

Call (347) 256-1989 Map

Mailing address

16102 Jewel Ave Apt 3G
Flushing, NY 11365-4302

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073022174

Tara Olideyka Crossman's National Provider Identifier is 1073022174, issued on Sep 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Island City, NY. The record was last updated on Sep 21, 2017.