Individual provider · Type 1 NPI

Tara Renee Straka, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1730361833 Active

Practice location

550 1st Ave, Nbv 20 North 11
New York, NY 10016-6402

Call (212) 686-7500 Map

Mailing address

50 W 77th St, #4B
New York, NY 10024-5116

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X241595 (NY)

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 1730361833

Tara Renee Straka, MD's National Provider Identifier is 1730361833, issued on Nov 29, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Nov 29, 2007.