Accavallo, Tara

Accavallo, Tara is an individual health care provider with primary practice located at 5036 Jericho Tpke Ste 207 , Commack NY 11725-2812. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, 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) 486-8372.

Contact Information

Primary practice address
5036 Jericho Tpke Ste 207 Commack NY 11725-2812
Phone: (631) 486-8372
Fax: (631) 486-8374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 454839 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F353276 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 FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Jul 22nd, 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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