Accavallo, Tara

Accavallo, Tara is an individual health care provider with primary practice located at 14 Clark St , Selden NY 11784-2257. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Accavallo, Tara can be contacted via phone (631) 846-6594.

Contact Information

Primary practice address
14 Clark St Selden NY 11784-2257
Phone: (631) 846-6594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 454839 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F353276 New York

Profile Details

NPI number 1013162346
LBN Legal business name Accavallo, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Feb 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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