Individual provider · Type 1 NPI

Tara Kristine Manierre, P.A.

Surgical Physician Assistant · Albany, NY

NPI number 1982833026 Active

Practice location

43 New Scotland Ave, Mail Code - 73
Albany, NY 12208-3412

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X013364 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1982833026

Tara Kristine Manierre, P.A.'s National Provider Identifier is 1982833026, issued on Jul 10, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on Jan 6, 2016.