Individual provider · Type 1 NPI

Shane Tatar, PA

Medical Physician Assistant · Merrick, NY

NPI number 1770932303 Active

About NPI 1770932303

Shane Tatar, PA's National Provider Identifier is 1770932303, issued on Jun 4, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Merrick, NY. The record was last updated on May 23, 2023.