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1689395071
TARA MICHELLE KORWAN
ROSLYN, NY
NPI
1689395071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028871)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
TARA MICHELLE KORWAN PA-C
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-562-6000
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Mailing Address
TARA MICHELLE KORWAN PA-C
3567 LUFBERRY AVE
WANTAGH, NY 11793-3028
Phone number: 516-316-8060
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