TARA C EY-DEFAZIO

LONG BEACH, NY
NPI1629332887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2012-07-02
Last Update Date2012-07-02
Business Address
Mrs. TARA C EY-DEFAZIO TSHH/DHH
67 ARIZONA AVE
LONG BEACH, NY 11561-1531
Phone number: 516-818-4749
Mailing Address
Mrs. TARA C EY-DEFAZIO TSHH/DHH
67 ARIZONA AVE
LONG BEACH, NY 11561
Phone number: