TARA LYNN ZICKERMAN

ROSLYN, NY
NPI1093840605
Former NameTARA LYNN CUNNINGHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006110)
Enumeration Date2007-02-22
Last Update Date2009-04-03
Business Address
TARA LYNN ZICKERMAN P.A.
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-338-5300
Mailing Address
TARA LYNN ZICKERMAN P.A.
PO BOX 1048
PORT WASHINGTON, NY 11050-1048
Phone number: 516-338-5300
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