TARA MICHELLE NIEDZIALKOWSKI

NORWICH, NY
NPI1215216551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2011-08-04
Last Update Date2012-01-03
Business Address
Mrs. TARA MICHELLE NIEDZIALKOWSKI PA
55 CALVARY DR
NORWICH, NY 13815-1032
Phone number: 607-336-6362
Mailing Address
Mrs. TARA MICHELLE NIEDZIALKOWSKI PA
43 CLEVELAND AVE APARTMENT #2
BINGHAMTON, NY 13905-3221
Phone number: 607-759-4832