Hertz, Tara Leigh

Hertz, Tara Leigh is an individual health care provider with primary practice located at 39 Brentwood Rd , Bay Shore NY 11706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Hertz, Tara Leigh can be contacted via phone (631) 591-7400.

Contact Information

Primary practice address
39 Brentwood Rd Bay Shore NY 11706
Phone: (631) 591-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 431384 New York
Nursing Service Providers / Registered Nurse 163W00000X 581597 New York

Profile Details

NPI number 1891288031
LBN Legal business name Hertz, Tara Leigh
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Aug 15th, 2018 - about 8 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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