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1770004301
TARA ANN LONGO
NEWBURGH, NY
NPI
1770004301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 559460734)
Enumeration Date
2017-07-05
Last Update Date
2022-07-21
Business Address
TARA ANN LONGO NP
5 JEANNE DR STE 7
NEWBURGH, NY 12550-1797
Phone number: 845-565-4400
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Mailing Address
TARA ANN LONGO NP
5 JEANNE DR STE 7
NEWBURGH, NY 12550-1797
Phone number: 845-565-4400
Copy
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