Individual provider · Type 1 NPI

Tienahosa Tara Diabo

Specialist · Kenmore, NY

NPI number 1699073130 Active

Practice location

2900 Delaware Ave
Kenmore, NY 14217-2309

Fax (716) 871-9887

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X033343-1 (NY)

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 1699073130

Tienahosa Tara Diabo's National Provider Identifier is 1699073130, issued on Mar 8, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kenmore, NY. The record was last updated on Mar 8, 2011.