Flocco, Tara

Flocco, Tara is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Flocco, Tara can be contacted via phone (314) 445-4376.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382313-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 516300-1 New York

Profile Details

NPI number 1043485998
LBN Legal business name Flocco, Tara
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 29th, 2022 - about 4 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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