Individual provider · Type 1 NPI

Tara C. Ey-Defazio, TSHH/DHH

Specialist · Long Beach, NY

NPI number 1629332887 Active

Practice location

67 Arizona Ave
Long Beach, NY 11561-1531

Call (516) 818-4749 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1629332887

Tara C. Ey-Defazio, TSHH/DHH's National Provider Identifier is 1629332887, issued on Jul 2, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Long Beach, NY. The record was last updated on Jul 2, 2012.