Individual provider · Type 1 NPI
Tara Rose Smith
Medical Art Specialist/Technologist · Bay Shore, NY
NPI number
1083322325
Active
Practice location
120 W Main St
Bay Shore, NY 11706-8314
Mailing address
11 W Main St # 5-313
Patchogue, NY 11772-3087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Art Specialist/Technologist Primary | 246ZA2600X | 220311 (NY) |
Medical Art Specialist/Technologist: None
About NPI 1083322325
Tara Rose Smith's National Provider Identifier is 1083322325, issued on Nov 7, 2022. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in Bay Shore, NY. The record was last updated on Nov 7, 2022.